Cervical Polypectomy Using a Flexible Ureterorenoscope to Preserve the Hymen: A Case Report.

Hymenal preservation during the removal of uterine or cervical lesions is crucial for many patients. Techniques like rigid hysteroscopy are effective but cause significant postoperative pain and have limited vaginal access. New procedures are needed to provide effective treatment with less pain, hymenal preservation, and improved patient experience. In this case report, we aim to present a virgin case who underwent flexible laser-equipped single-use ureterorenoscopic cervical polypectomy with preservation of the hymen. A 30-year-old virgin case with a large cervical polyp presented with a history of heavy menstrual bleeding for the past six months, causing severe anemia that required blood transfusion. Her menstrual flow was regular before the last six months. Abdominal examination was unremarkable, whereas pelvic examination showed a polyp protruding through the hymen, which was intact. Transabdominal sonography revealed a cervical mass measuring 50 × 19.7 mm in craniocaudal and transverse diameters, respectively. The magnetic resonance imaging (MRI) findings supported the diagnosis of a cervical polyp. The polyp was successfully removed using flexible single-use ureterorenoscopy with laser energy. This resulted in relief of symptoms and patient satisfaction in terms of adherence to traditions and cultural beliefs. Flexible single-use ureterorenoscopy can be used as an effective alternative to hysteroscopy for giant cervical polypectomy with hymenal preservation in virgin cases. This technique can be considered a therapeutic option for patients wishing to preserve virginity, especially in conservative societies such as the Middle East.