View clinical trials related to Imperforate Hymen.
Filter by:This study aims to test the use of a 10 mm laparoscopy trocar tip for formation of a new vaginal orifice with preservation of an annular hymen (Darwish hymenotomy technique) in cases of post pubertal imperforate hymen (IH). A prospective interventional case series done at a minimally invasive surgery unit of a tertiary university hospital between July 2013 and October 2019 comprising patients with primary amenorrhea and hematocolpus. Circular hymenotomy using a 10 mm laparoscopy trocar tip and sleeve done under general anesthesia was done in 36 cases. Documented vaginal patency with formation of an annular hymen in all cases was reported on follow-up visits without reported intraoperative complications. Patient and family satisfaction with excellent sensation of preserved hymen was also documented. Using a 10 mm laparoscopy trocar tip for formation of a new vaginal opening with preservation of annular hymen (Darwish technique) in cases of postpubertal IH is a simple, effective and safe procedure suitable for Islamic and conservative societies with excellent impact on the psychological and emotional status of the patient and her family.