Abstract
Background
Imperforate hymen, with an incidence between 0.1% and 0.05%, is the most common obstructive
congenital abnormality of the female genital tract. 'Standard' surgical treatment
of imperforate hymen involves hymenectomy after a cruciate, plus, or X-shaped hymenotomy
incision.
Cases
Two cases with imperforate hymen treated with a simple vertical incision are presented.
A few oblique sutures were used to prevent refusion. Postoperative follow up was uneventful.
Summary and Conclusion
The importance of the integrity of hymen changes in different cultures and religious
groups. Option of a hymen sparing procedure is readily preferred by most of these
patients and families. Also preservation of hymenal tissue, hence the perception of 'integrity'
of female genitalia, might be an alternative treatment option.
Key Words
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Article info
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Copyright
© 2009 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
