Long-Term Results of an Imperforate Hymen Procedure that Lea
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The aim of this study was to show the clinical results of the postoperative evaluation of cases of imperforate hymen that presented at a center during a 21-year period. A Foley’s catheter was inserted in 74 patients of imperforate hymen with a history of pelvic pain. In each case, the hymen was opened via a circular incision from the center of the distended. A Foley’s catheter was inserted, and estrogen cream was prescribed for application on the hymenal structure for 14 days. The catheter was removed after 14 days.

The mean age of the patients at the time of this study was 28.3 ± 2.6 years, and the mean age at diagnosis was 13.2 ± 2.5 years. Twenty-nine (96.6%) patients had experienced vaginal bleeding during their first sexual intercourse experience, and one patient (3.4%) had not. Fourteen out of the 30 married women had become pregnant, of whom nine had delivered vaginally and five had delivered via a cesarean section. After undergoing renal ultrasound, none of the patients had any apparent anomalies. Only one patient had a uterine anomaly, which was a bicornuate uterus.

A circular incision with the insertion of Foley’s catheter prevents many social problems by preserving the hymen’s architecture and allowing vaginal bleeding to occur during the first sexual intercourse experience.

Source:https://link.springer.com/article/10.1007/s13224-020-01407-4
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