Clinical application of local vaginal mucosa for hymenoplasty
10.3760/cma.j.cn114453-20200515-00295
- VernacularTitle:利用阴道黏膜行处女膜成形术的临床应用
- Author:
Rongrong CHEN
1
;
Jingjiang ZOU
;
Sai SUN
;
Bifang ZHANG
;
Weijie FENG
;
Xueying XIA
Author Information
1. 广东省妇幼保健院医学美容科，广州 511442
- Keywords:
Hymen;
Laceration;
Reconstructive surgical procedures;
Vaginal mucosa
- From:
Chinese Journal of Plastic Surgery
2021;37(3):289-294
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of a new method of hymenoplasty using local vaginal mucosa.Methods:A total of 18 patients with wide vaginal opening or deep laceration of hymen, admitted by Guangdong Wemen and Children Hospital from January 2018 to March 2020 were enrolled. The edge of the hymen was trimmed horizontally for a new incision, while the edge of the crack was also trimmed horizontally separating the vaginal mucosa into the vagina, about 2 cm deep, forming a wavy line-like cutting edge. The submucosa of the vaginal mucosa was stretched and sutured to form the outer edge of the new hymen. The vaginal mucosa was intermittently sutured from the inside to the outside with a 6-0 absorbale thread. The marginal base narrowed the external vaginal opening while the hymen was formed. Photos were taken for patients before operation and 1 month after operation. Satisfaction was monitored during postoperative follow-up.Results:One month after the operation, the incision healing rate of the 18 patients was 94.44%(17/18). The finger examination only accommodated one finger wide, and there was slight pain. During the 6-12 months follow-up by phone or WeChat, 10 cases indicated that they had sex for the first time and all their hymen were ruptured again with bleeding. The remaining 3 cases had no sex and the other three were lost to follow-up. The satisfaction survey showed excellent outcomes in 10 patients and good outcomes in 2 patients. The total satisfaction rate was 92.31%(12/13).Conclusions:This study demonstrates that hymen reformation using local vaginal mucosa can achieved satisfactory outcomes in patients with wide vaginal opening or deep laceration of hymen.
