Research Article

Hymenoplasty Experience: Factors Associated with Dehiscence (Hymenoplasty Complications)

Volume: 16 Number: 3 July 1, 2025
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Cover
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi
PDF Download
EN

Hymenoplasty Experience: Factors Associated with Dehiscence (Hymenoplasty Complications)

Abstract

Purpose: To evaluate outcome of hymenoplasties in private clinics and investigate the factors affecting the risk of dehiscence Method: A retrospective cross-sectional survey of Obstetrics and Gynecology specialists trained over the last five years was conducted. Specialists from private clinics completed surveys on hymenoplasties performed. Rates and types of complications were requested and factors associated with wound dehiscence in patients undergoing permanent hymenoplasty was investigated with multivariate analysis. Results:. A total of 968 patients were included. Hymenoplasty was performed for revirgination in 874 cases (90.2%), incision of the hymen for gynecological procedures in 82 (8.4%) cases and trauma in 12 cases (1.2%). Complications included wound dehiscence (26.1%), infection (1.7%), bleeding (1.7%), pain (1.5%), itching (1.4%) and dyspareunia (0.5%). The technique was permanent in 714 cases and temporary in 254 cases. Among the permanent hymenoplaty cases, multivariate logistic regression analysis showed that obesity (OR=3.1, 95%CI: 1.5-6.2, p=0.001) and tobacco use (OR=2.2, 95%CI: 1.3-3.8, p=0.003) increases the risk of dehiscence. Sedation decreased the risk of dehiscence when compared to local infiltration anesthesia (OR=0.56, 95%CI: 0.33-0.99, p=0.04). Every decrease in the polyglactin suture caliber decreased the risk of dehiscence (OR=0.22, 95%CI: 0.16-0.3, p<0.001) This study showed that using 5.0 sutures, omitting infiltration anesthesia, and avoiding tobacco use may help decrease wound dehiscence after hymenoplasty

Keywords

References

  1. 1. Logmans A, Verhoeff A, Raap RB, Creighton F, Van Lent M. Should doctors reconstruct the vaginal introitus of adolescent girls to mimic the virginal state? Who wants the procedure and why. BMJ [Internet]. 1998 Feb 7 [cited 2024 Mar 10];316(7129):459. Available from: https://pubmed.ncbi.nlm.nih.gov/9492678/
  2. 2. Foldès P, Droupy S, Cuzin B. Chirurgie cosmétique de l’appareil génital féminin. Progres en Urologie. 2013 Jul;23(9):601–11.
  3. 3. Mirzabeigi MN JSMRAGJ. The nomenclature of “vaginal rejuvenation” and elective vulvovaginal plastic surgery. Aesthet Surg J. 2011;31(6):723–4.
  4. 4. Essén B, Blomkvist A, Helström L, Johnsdotter S. The experience and responses of Swedish health professionals to patients requesting virginity restoration (hymen repair). Reprod Health Matters [Internet]. 2010 [cited 2024 Mar 10];18(35):38–46. Available from: https://pubmed.ncbi.nlm.nih.gov/20541082/
  5. 5. Tschudin S, Schuster S, Dumont dos Santos D, Huang D, Bitzer J, Leeners B. Restoration of virginity: Women’s demand and health care providers’ response in Switzerland. Journal of Sexual Medicine. 2013;10(9):2334–42.
  6. 6. Moore KL, Persaud TVN, Torchia MG. Embryologic Development of the Urogenital System. In: Moore KL, Persaud TVN, editors. The Developing Human: Clinically Oriented Embryology. 7th ed. Philadelphia: Saunders; 2003. p. 312.
  7. 7. Stewart ST. Hymenal characteristics in girls with and without a history of sexual abuse. J Child Sex Abus [Internet]. 2011 Sep [cited 2024 Mar 10];20(5):521–36. Available from: https://pubmed.ncbi.nlm.nih.gov/21970644/
  8. 8. Ou MC, Lin CC, Pang CC, Ou D. A cerclage method for hymenoplasty. Taiwan J Obstet Gynecol [Internet]. 2008 [cited 2024 Mar 10];47(3):355–6. Available from: https://pubmed.ncbi.nlm.nih.gov/18936008/

Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Research Article

Authors

Early Pub Date

June 18, 2025

Publication Date

July 1, 2025

Submission Date

February 5, 2025

Acceptance Date

April 3, 2025

Published in Issue

Year 2025 Volume: 16 Number: 3

DOI

https://doi.org/10.31067/acusaglik.1633538

IZ

https://izlik.org/JA53LZ26CX

Cite

RIS / Bibtex
EndNote
Cömert EH, Köle E, Saraç ÖD, Doğan O, Çalışkan E (July 1, 2025) Hymenoplasty Experience: Factors Associated with Dehiscence (Hymenoplasty Complications). Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 16 3 362–366.