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处女膜修补术 7 年回顾性分析:一家专业妇科整形手术实践的特点。

A 7-Year Retrospective Analysis of Hymenoplasty: Profiles From a Specialized Gynecological Cosmetic Surgery Practice.

出版信息

Aesthet Surg J. 2024 Jun 14;44(7):NP464-NP475. doi: 10.1093/asj/sjae056.

DOI:10.1093/asj/sjae056
PMID:38470862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11177550/
Abstract

BACKGROUND

Hymenoplasty-surgical reconstruction of the hymen-is on the rise in Turkey, reflecting the enduring importance of virginity which is rooted in sociocultural and religious beliefs. Demographic factors shape women's decisions regarding this procedure.

OBJECTIVES

The aim of this investigation was to delve into the multifaceted perceptions around virginity and hymenoplasty in Turkey, examining the impact of sociocultural and religious beliefs on women's decisions. The study also explored demographic influences, offering insights into the societal and cultural backdrop of hymenoplasty.

METHODS

A 7-year retrospective analysis of 4259 patient records (2015-2022) at a private clinic was conducted, and statistical tools were used to meticulously analyze data on demographics and shared decision-making dynamics.

RESULTS

In the examined cohort (83.3%), the choice of permanent hymenoplasty was prevalent among individuals aged 14 to 49 years, with 58.6% being engaged and seeking the procedure a week before marriage. Notably, 91.0% were accompanied by friends during consultations, and a minority disclosed a history of childbirth or experience of forced intercourse. An increasing trend in first-time and post-assault hymenoplasty procedures was observed in 2021. Geographically, the majority of individuals resided in Istanbul, but represented all Turkish regions. Additional procedures such as vaginoplasty were common, with mostly successful postprocedural outcomes and minor complications.

CONCLUSIONS

This study highlighted the enduring social importance of virginity in Turkey, emphasizing hymenoplasty as a coping strategy for psychological and societal challenges. The study calls for comprehensive patient support and societal progress in respecting women's bodily autonomy, urging a shift away from the cultural fixation on virginity.

摘要

背景

处女膜修复术——处女膜的外科重建——在土耳其呈上升趋势,这反映了处女膜的持久重要性,它根植于社会文化和宗教信仰之中。人口因素影响着女性对这一手术的决定。

目的

本研究旨在深入探讨土耳其社会文化和宗教信仰对女性处女膜和处女膜修复术决策的影响,探讨处女膜修复术背后的人口因素。该研究还探讨了人口统计学方面的影响,深入了解处女膜修复术的社会和文化背景。

方法

对一家私人诊所的 4259 名患者记录(2015-2022 年)进行了 7 年的回顾性分析,并使用统计工具仔细分析了人口统计学和共同决策动态的数据。

结果

在所研究的队列中(83.3%),14 至 49 岁的个体中永久性处女膜修复术的选择更为普遍,其中 58.6%的人在订婚并计划在婚前一周进行手术。值得注意的是,91.0%的人在咨询时都有朋友陪同,少数人透露有过生育史或遭受过强迫性行为。2021 年首次和性侵后处女膜修复术的数量呈上升趋势。从地理位置上看,大多数人居住在伊斯坦布尔,但代表了土耳其的所有地区。其他手术如阴道成形术也很常见,术后结果大多成功,仅有少数并发症。

结论

本研究强调了处女膜在土耳其社会的持久重要性,强调了处女膜修复术作为应对心理和社会挑战的一种策略。该研究呼吁为患者提供全面的支持,并呼吁社会尊重女性的身体自主权,促使人们摆脱对处女膜的文化偏见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d93/11177550/4773fbfffb34/sjae056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d93/11177550/3632ed23346a/sjae056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d93/11177550/4773fbfffb34/sjae056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d93/11177550/3632ed23346a/sjae056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d93/11177550/4773fbfffb34/sjae056f2.jpg

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本文引用的文献

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Intimate geographies of virginal blood.处女膜血的私密地理学。
Cult Geogr. 2023 Jan;30(1):123-139. doi: 10.1177/14744740221110586. Epub 2022 Jul 8.
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A Review of Aesthetic Gynecologic Procedures for Women.女性妇科美学整形术述评。
Plast Aesthet Nurs (Phila). 2022;42(4):226-237. doi: 10.1097/PSN.0000000000000479.
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Guideline No. 423: Female Genital Cosmetic Surgery and Procedures.第423号指南:女性生殖器官整形手术及操作
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Hymen and virginity: What every paediatrician should know.处女膜和童贞:每个儿科医生都应该知道的事。
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A Review of Aesthetic Gynecologic Procedures for Women.女性美容妇科手术述评
Plast Surg Nurs. 2021;41(4):191-202. doi: 10.1097/PSN.0000000000000400.
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[From virginity certificates to hymenoplasty surgery in France].[从法国的处女膜证书到处女膜修复手术]
Med Sci (Paris). 2021 Apr;37(4):392-395. doi: 10.1051/medsci/2021038. Epub 2021 Apr 28.
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Commentary on: A New Practical Surgical Technique for Hymenoplasty: Primary Repair of Hymen With Vestibulo-Introital Tightening Technique.
Aesthet Surg J. 2021 Feb 12;41(3):338-343. doi: 10.1093/asj/sjaa290.
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A New Practical Surgical Technique for Hymenoplasty: Primary Repair of Hymen With Vestibulo-Introital Tightening Technique.一种新的实用处女膜修补术技术:前庭-阴道紧缩术修复处女膜。
Aesthet Surg J. 2021 Feb 12;41(3):333-337. doi: 10.1093/asj/sjaa077.
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Luminal Reduction Hymenoplasty: A Canadian Experience With Hymen Restoration.
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