Virginity sparing surgery for imperforate hymen: report of two cases and review of literature

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This report describes a simple, virginity-sparing surgical procedure to form an intact annular hymen in two patients with imperforate hymen, avoiding prophylactic antibiotics and catheter use.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-25 · read from full text ⓘ

This case report describes a virginity-sparing surgical technique for treating imperforate hymen, an obstructive congenital anomaly affecting approximately one in two thousand female births. The authors present two cases where they performed a modified hymenotomy that avoided prophylactic antibiotics and Foley catheter use while successfully forming an intact annular hymen post-procedure. They argue that this simple approach is socially acceptable and preferable in cultures where preserving virginity is critical for unmarried patients. Relevance to endometriosis: The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Imperforate Hymen (IH), an obstructive congenital anomaly of the female genital tract, is seen in 1 in 2000 female births. Treatment of IH is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We reported two cases of IH with different clinical presentations and described a simple virginity preserving and socially acceptable procedure to protect the virginity of the patient. In cultures and religions where the destruction of the hymen is a social problem in unmarried girls, virginity sparing surgery should be chosen in gynecological practice. Here we described a simple procedure without need for prophylactic antibiotic treatment and foley catheter application to form an intact annular hymen in two cases.
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ABSTRACT Imperforate Hymen (IH), an obstructive congenital anomaly of the female genital tract, is seen in 1 in 2000 female births. Treatment of IH is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We reported two cases of IH with different clinical presentations and described a simple virginity preserving and socially acceptable procedure to protect the virginity of the patient. In cultures and religions where the destruction of the hymen is a social problem in unmarried girls, virginity sparing surgery should be chosen in gynecological practice. Here we described a simple procedure without need for prophylactic antibiotic treatment and foley catheter application to form an intact annular hymen in two cases.

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europepmc
last seen: 2026-10-11T09:27:45.537177+00:00
pubmed
last seen: 2026-10-08T21:13:21.326790+00:00
unpaywall
last seen: 2026-10-11T06:28:45.473802+00:00