Elbanna Wael, Khedr Asmaa, Azmy Osama
Obstetrics and Gynecology, Hayat Women Care Center, Cairo, EGY.
Obstetrics and Gynecology, Egypt Center for Research and Regenerative Medicine (ECRRM), Cairo, EGY.
Cureus. 2025 Sep 19;17(9):e92713. doi: 10.7759/cureus.92713. eCollection 2025 Sep.
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.
对于许多患者而言，在切除子宫或宫颈病变时保留处女膜至关重要。诸如硬性宫腔镜检查等技术虽有效，但会导致严重的术后疼痛且阴道操作受限。需要新的手术方法来提供有效的治疗，同时减少疼痛、保留处女膜并改善患者体验。在本病例报告中，我们旨在介绍一例处女患者，她接受了配备激光的一次性软性输尿管肾镜宫颈息肉切除术并保留了处女膜。一名30岁的处女患者患有大的宫颈息肉，有过去六个月月经过多的病史，导致严重贫血需要输血。在过去六个月之前她的月经周期正常。腹部检查无异常，而盆腔检查显示一个息肉从完整的处女膜中突出。经腹超声检查显示宫颈肿物在头尾径和横径上分别为50×19.7毫米。磁共振成像（MRI）结果支持宫颈息肉的诊断。使用带有激光能量的一次性软性输尿管肾镜成功切除了息肉。这在遵循传统和文化信仰方面缓解了症状并让患者满意。对于处女病例中保留处女膜的巨大宫颈息肉切除术，一次性软性输尿管肾镜可作为宫腔镜检查的有效替代方法。对于希望保留童贞的患者，尤其是在中东等保守社会，这种技术可被视为一种治疗选择。
