Title
Treatment of Microperforate Hymen With Serial Dilation: A Novel Approach
Publication Date
2014
Journal Title
J Pediatr Adolesc Gynecol
Abstract
BACKGROUND: Microperforate and imperforate hymens are one of the most common causes of vaginal outflow obstruction in the adolescent population. To date, these hymen anomalies are traditionally treated by hymenectomy with a cruciate excision. CASES(S): We report 2 cases of adolescent women with a microperforate hymen who were successfully and minimally invasively treated with progressive dilation with Hegar cervical dilators until a number 23 dilator was reached under anesthesia in the OR. SUMMARY AND CONCLUSION: Minimally invasive treatment of microperforate hymen with the use of progressive cervical dilators may be an alternative technique to the traditional excisional hymenectomy. Our patients reported satisfaction and minimal postoperative pain or scarring at 2 weeks and 6 months after the procedure. This technique can be an additional option for all women, especially those with cultural beliefs in virginity.
Volume Number
28
Issue Number
2
Pages
e21-e22
Document Type
Article
EPub Date
2014/12/03
Status
Faculty, Northwell Researcher
Facility
School of Medicine; Northwell Health
Primary Department
Obstetrics and Gynecology
PMID
25444056
DOI
10.1016/j.jpag.2014.06.001