Hymen Reconstruction
Hymen reconstruction is a procedure that is not widely accepted by certain segments of the population. However, in some cultures, the loss of virginity can lead to ostracism at best, and at worst, harassment and exclusion from the community, with potentially significant psychosocial repercussions.
Hymen reconstruction allows for the restoration of the hymen's integrity.
The hymen is a membrane that partially covers the vaginal opening in most girls. Its function is uncertain. Some believe it might protect young girls from vaginal infections, but this is not confirmed.
Its social function, although insignificant in most societies, is highly emphasized in some patriarchal societies. It is considered a so-called guarantee of virginity.
The hymen can take various forms: annular, bifurcated, cribriform, microperforated, imperforate. It can also be absent from birth.
The hymen can become stretched or torn during certain sports like horseback riding, cycling, or gymnastics; through the use of tampons; after masturbation; or following the first sexual intercourse.
The rupture of the hymen is not always accompanied by bleeding.
Technique
Depending on the amount of hymenal remnants and the time before an eventual wedding night, several techniques can be considered.
If there is a sufficient amount of hymenal remnants, they can be sutured together using absorbable thread, especially if the wedding night is scheduled within the following week at the latest.
However, if there are not enough remnants or if the wedding is planned beyond three weeks, it is preferable to lift a flap of posterior vaginal mucosa, which will be sutured to the anterior wall. In this case, the patient should be informed about the risk of significant bleeding and potential difficulties in breaking this neo-hymen.
These procedures are performed by Dr. Zirak under sedation on an outpatient basis.
The patient can return to work the day after the procedure.
Post-Operative Care
- Some pain managed with analgesics.
- Moderate swelling that will persist for one to two weeks.
Results
- Simple suturing of the remnants allows for the restoration of a hymen, but its durability does not exceed a week.
- On the other hand, lifting the vaginal flap results in a hymen that lasts much longer.