Hymenoplasty (Hymen repair)

INTRODUCTION

  • Hymenoplasty or Hymenorraphy is a surgical reconstruction or repair of the hymen membrane (ring-like skin covering the entrance to the vagina).
  • Intact hymen in some culture or places is the basis of a woman’s virginity. Blood on wedding sheets after the first sexual intercourse following the marriage is known as the hallmark of a woman’s virginity.
  • The tearing and bleeding of the hymen cannot be used as a genuine confirmation of virginity. Some women tear their hymen membrane during vigorous exercise or due to use of tampons.
  • Various techniques of hymenoplasty:
    • Suturing the torn hymen (true repair of hymen) :
      • This is a very delicate surgery that has to be done with precision and the surgeon must ensure durability of the result.
      • Dr Ng prefers double repair method. A more durable methodology.
    • Vaginal lining flap :
      • Done by cutting a piece of vaginal lining to reinforce the hymen and sometimes this is combined with the injection of a gelatin capsule to fake bleeding during sexual intercourse.

SUITABLE CANDIDATES

  • Patient who require an intact Hymen for personal, cultural, religious purpose

CONCURRENT PROCEDURES

ANAESTHESIA

  • Combination of local and intravenous sedation (The procedure can be can be assisted by an anaesthetist according to patient preference).

DESCRIPTION OF PROCEDURE

  • Administration of sedation and local anaesthesia.
  • Identification of torn edges of the hymen followed by a repair of using absorbable sutures in two layers.
  • Surgical duration : 1 hour
  • Home on the same day

POST OPERATIVE CARE

  • Medication : Oral and topical antibiotics, analgesics (pain relief), anti-swelling medication
  • Sanitary padding for 2-3 days for residual discharge.
  • Avoid activities that will exert pressure to the groin for 2-4 weeks.
  • Earliest time for sexual activity : 2-3 weeks.

RISK AND CAUTION

  • Infection
  • Swelling
  • Bleeding