Treatment of Microperforate Hymen With Serial Dilation: A Novel Approach

Segal, Thalia R.; Fried, Wendy B.; Krim, Eileen Y.; Parikh, Deep; Rosenfeld, David

doi:10.1016/j.jpag.2014.06.001

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…An alternative less invasive method of treatment reported in the literature includes serial dilation of the MH with Hegar dilators. 8 However, there were no signs of infection or obstructive symptoms in the patients reported in these case reports and further follow-up is required to determine the long-term success of this technique with regard to menstrual function, sexual function, and patient satisfaction.…”

Section: Discussionmentioning

confidence: 79%

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Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature

Tardieu

Appelbaum

2018

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionmentioning

confidence: 79%

“…Visual inspection might also reveal a bulging hymen or a very tight hymenal ring. 8 Examination under anesthesia might be indicated to fully clarify the configuration of the hymen. In patients with pyocolpos, purulent vaginal discharge might be observed from the small hymenal orifice, as in this case.…”

Section: Discussionmentioning

confidence: 99%

Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature

Tardieu

Appelbaum

2018

Journal of Pediatric and Adolescent Gynecology

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“…Other methods emerged due to concern of preservation of virginity. One such method was progressive dilatation with Hager dilators (1,6,11). Acar reported a case series of a central incision of imperforate hymen followed by the insertion and retention of a foley catheter for 2 weeks followed by the application of estrogen cream to preserve the patency of the hymen with good success rates (12).…”

Section: Discussionmentioning

confidence: 99%

Microperforate Hymen Presenting as Tubo-Ovarian Abscess in Adulthood

Tan¹

2018

JSA

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Microperforate hymen is a rare vaginal anomaly that is usually reported in childhood due to recurrent urogenital infections. Unlike imperforate hymen where the presenting complaints are classical due to complete vaginal obstruction, the less profound and varied presentation of microperforate hymen may go unnoticed. We report a case of a 39-year-old, with a background history of amenorrhea, who presented with acute abdomen suggestive of tuboovarian abscess, and was finally diagnosed to have microperforate hymen. She underwent hymenectomy to correct the anomaly. To our knowledge, this is the oldest age of presentation of a congenital form of microperforate hymen. A high index of suspicion and early detection of microperforate hymen and properly timed intervention is essential to prevent acute symptoms and long term detrimental sequalae to women's reproductive and psychosexual health.

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“…Treatment is directed towards creating a patent vaginal outflow tract. This procedure involves making either a cruciate incision over the hymenal membrane or using progressive cervical dilators to widen the opening . In order to prevent restenosis, usually a Foley's catheter is maintained in situ in the operated hymen for 2 weeks …”

Section: Discussionmentioning

confidence: 99%

“…This procedure involves making either a cruciate incision over the hymenal membrane or using progressive cervical dilators to widen the opening. 9 In order to prevent restenosis, usually a Foley's catheter is maintained in situ in the operated hymen for 2 weeks. 10 In the present case, it has been shown that spontaneous pregnancy is possible with microperforate hymen even though this condition interferes with normal vaginal intercourse.…”

Section: Recurrent Urinary Tract Infections Can Occur Because Pathological Microbes Can Enter Through Thementioning

confidence: 99%

Microperforate hymen presenting with incomplete abortion: A case report

Padhi

Tripathy

Sahu

2017

J of Obstet and Gynaecol

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A 20-year-old patient with 3 months of amenorrhea presented in the labor room with bleeding per vaginum and having experienced lower abdominal pain for 2 h. She had a history of difficult intercourse and prolonged menstrual flow. Inspection revealed a bleeding point over an obstructing membrane at the level of the vaginal introitus. Subsequent vaginal examination confirmed the diagnosis of microperforate hymen. Her urine pregnancy test was positive and an ultrasound examination revealed the presence of retained products of conception in the endometrial cavity. Hymenectomy was carried out to evacuate the retained products of conception and the margins of the hymen were sutured to prevent restenosis. The outcome was uneventful. This case study suggests that even though subocclusive hymenal anomalies, such as microperforate hymen, can interfere with normal vaginal intercourse, it does not lead to infertility and can permit pregnancy. Hence, awareness about this rare entity may lead to early detection and improvement in the patient's quality of life.

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Treatment of Microperforate Hymen With Serial Dilation: A Novel Approach

Cited by 10 publications

References 7 publications

Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature

Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature

Microperforate Hymen Presenting as Tubo-Ovarian Abscess in Adulthood

Microperforate hymen presenting with incomplete abortion: A case report

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