Volume : V, Issue : II, February - 2015

Imperforate hymen–Can it be treated by a simple vertical incision–A case report.

Dr. Nigar Asma

Abstract :

Imperforate hymen is a rare congenital anomaly ,with an incidence of 0.05%–0.1% , although is the most common obstructive congenital anomaly of the female genital tract.It is thought that cause of this anomaly may be congenital defect in the degeneration of central cells of hymen. Generally it presents as an isolated anomaly , but some times genitourinary anomalies may be seen with it. Patients are generally asymptomatic until menarche . Patients may present with primary amenorrhea ,cyclic abdominal pain, urinary retention ,suprapubic lump and tenesmus. Diagnosis is made with history and pelvic examination . Surgical treatment for this anomaly is hymenectomy after a cruciate or x shaped hymenotomy incision. Here we are reporting a case of imperforate hymen treated with a more conservative surgery which involved a simple vertical incision(hymenotomy) .Post operative follow up was uneventful and patient attained normal menses. Hence It could be an alternative option as it is a hymen spÃ¥ procedure which involves preservation of hymen and so maintains integrity of female genitalia . This procedure is more acceptable by the patient and their families.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Nigar Asma Imperforate hymen- Can it be treated by a simple vertical incision –A case report. Indian Journal of Applied Research, Vol.5, Issue : 2 February 2015

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