Hymenoplasty — how to do

Prakash, Vishwa

doi:10.1007/s12262-009-0057-9

Cited by 24 publications

(20 citation statements)

References 6 publications

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“…Three previous studies have described the surgical technique of hymenoplasty [5,7,15]. Logmans et al [15] reported the approximation method.…”

Section: Discussionmentioning

confidence: 99%

“…Logmans et al [15] reported the approximation method. Prakash [7] described the approximation procedure in a more detailed manner, in which the freshened margins of all remnants were stitched together in two layers. Lastly, Ou et al [5] reported the cerclage method, in which the epithelium tissue of hymenal remnants is not removed.…”

Section: Discussionmentioning

confidence: 99%

“…Penetrating hymenal trauma (e.g. sexual intercourse, vaginal tampon use, and surgical procedures [6]) will result in deep clefts in the hymen and destroy its integrity [7]. Studies show that only 50%-60% of women have blood loss when the hymen ruptures at first coitus, presumably owing to the lack of blood supply [3,8].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, one study [18] found that only 12% of doctors considered that they had sufficient knowledge for this task, and another [10] found that more than half of doctors have a strong need for further information and education on hymenoplasty. However, published studies investigating hymenoplasty are scarce [17], and only two surgical techniques of hymenoplasty have been reported: the approximation method and the cerclage method [5,7,15].…”

Section: Introductionmentioning

confidence: 99%

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A new surgical technique of hymenoplasty

Wei

et al. 2015

Intl J Gynecology & Obste

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“…Three previous studies have described the surgical technique of hymenoplasty [5,7,15]. Logmans et al [15] reported the approximation method.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A new surgical technique of hymenoplasty

Wei

et al. 2015

Intl J Gynecology & Obste

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“…Our search initially uncovered just two publications (Ou et al 2008, Prakash 2009) discussing HR surgical technique, though additional papers have since been published (Wei et al 2015, Triana & Robledo 2015. It is thus not possible to reliably assess HR risks, although the limited evidence (e.g.…”

Section: Introductionmentioning

confidence: 99%

Hymen reconstruction as pragmatic empowerment? Results of a qualitative study from Tunisia

Wild

Poulin

McDougall

et al. 2015

Social Science & Medicine

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Hymen reconstruction surgery (HR), while ethically controversial, is now available in many countries. Little clinical evidence and hardly any surgical standards support the intervention. Nearly as scarce is social science research exploring women's motivations for the intervention, and health care professionals' justifications for its provision. In order to better understand decision-making processes, we conducted semi-structured interviews in metropolitan Tunis, in 2009, with six women seeking the procedure, four friends who supported such women, four physicians who perform the operation, and one midwife. Health care professionals and patient companions expressed moral ambivalence about HR: although they could comprehend the individual situation of the women, they expressed concern that availability of the procedure might further entrench the patriarchal norms that compel the motivation for seeking HR in the first place. Some women seeking HR shared this concern, but felt it was not outweighed by their personal aims, which were to marry and become mothers, or to overcome past violent sexual experiences. The women felt HR to be uniquely helpful in achieving these aims; all made pragmatic decisions about their 1 bodies in a social environment dominated by patriarchal norms. The link between HR and pervasive gender injustice, including the credible threat of serious social and physical harm to women perceived to have failed to uphold the norm of virginity before marriage, raises questions about health care professionals' responsibility while facing requests for HR. Meaningful regulatory guidance must acknowledge that these genuine harms are at stake; it must do so, however, without resorting to moral double standards. We recommend a reframing of HR as a temporary resource for some women making pragmatic choices in a context of structural gender injustice. We reconfirm the importance of factual sexual and reproductive education, most importantly to counter distorted beliefs that conflate an "intact hymen" with virginity.

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