Imperforate hymen: a new technique for management

ABSTRACT

Imperforate hymen is a rare congenital anomaly. It may present early in infancy due to accumulation of secretion in vagina caused by excessive intrauterine stimulation of cervical mucous glands by maternal estrogen. Most cases present by urinary symptoms caused by hydrometrocolpos as well as bulging of imperforate hymen between the labia. 9 cases have been operated upon in Pediatric Surgical Department by hymenostomy. A new technique was used to drain the hydrometrocolpos and at the same time preserving the hymen intact and not deflorated. Follow up by ultrasound scanning showed that the technique is sufficient for drainage and no recurrence occurred