Hymenoplasty is a surgical procedure that is done to repair, restore or reconstruct a torn or a perforated hymen. It may also be done to create an opening in an imperforate or a completely closed hymen which may interfere with menstruation or sexual activity and this procedure is called hymenotomy.
Hymenorrhaphy, hymen reconstruction surgery, revirginization, revirgination
Hymenoplasty is an elective procedure.
Based on the technique hymenoplasty surgery may be of the following types
Some indications for a hymenoplasty surgery may include the following
Some contraindications and relative risk factors for a hymen repair surgery include
Some investigations that may be done before a hymenoplasty surgery include the following
Before a hymen repair surgery, the following is done
Intraoperative details Duration: A hymen repair surgery may last from 1-2 hours depending on the procedure that is being done
Anesthesia: A hymenoplasty surgery may be done under local anesthesia or under general anesthesia.
Description of hymen repair surgery:
The individual is in a lithotomy position (lying on the back with feet in the stirrups and buttocks at the edge of the table). The surgical site is thoroughly cleaned and draped in a sterile manner. An IV line is placed. After the anesthetic has taken effect, the labia majora (outer lips) and the labia minora (inner lips) on both sides are retracted. A local anesthetic with epinephrine is injected deep inside and under the hymen fragments. The hymen fragments are examined and the epithelialized fragments are excised with scissors or a scalpel and leaving behind only the tips of the hymen fragments. These tips are then sutured by creating a hymenal ring. Once the hymenal ring is created an optimal opening is left behind to accommodate menstruation. If the procedure is being done to treat an imperforate, septate, or microperforate hymen, then the size of the hymenal opening is increased by first incising the hymen and then suturing it to create an optimal hymenal opening. If enough hymenal skin is not present or if the hymen is not present either vaginal skin flaps or synthetic material may be used to create the hymen and blood supply is added.
Hymen restoration surgery may also be done as a part of revirgination procedures. Revirgination procedures are done, to restore the female genital system to its state before repeated sexual intercourse and include hymen reconstruction, vaginoplasty on the vaginal vault, and valvoplasty for the reconstruction of the vaginal lips. Revirgination surgeries are usually done to enhance sexual pleasure which may be reduced due to laxity of the vaginal vault and for cosmetic or aesthetic reasons. No dressing or vaginal packing is required. Topical antibiotic ointment is applied to the suture lines.
Most hymen repair surgery procedures are done as day care procedures and the individual can leave once the procedure is completed. If the surgery is done under general anesthesia, the individual is shifted to a recovery room and monitored until they regain consciousness and are stable. Common post-procedure occurrences
Medications: Antibiotics and pain-relieving medication may be prescribed.
Review: This is usually done 5-7 days after the procedure.
Resumption of normal activities: With some restriction on the 3rd day after the procedure
Some measures that may be taken after a hymen restoration surgery include
Some complications that may be seen after a hymenoplasty surgery include
The prognosis for hymenoplasty surgery is generally excellent with complications being few and rare.
Hospitalization is not required for hymen restoration surgery.
A hymenoplasty will be performed by specialists from the Department of Plastic Surgery, Cosmetology.