*Thank you for your help identifying this procedure, NoelPuppet and sleevesister! Here is one with some lovely music, but, no speaking.* The hymen is the thin tissue around the entry of the vagina that usually has an opening for menstrual blood to pass through. Imperforate hymen means that the hymen does not have an opening, so the entry of the vagina is completely closed off by the hymen. Imperforate hymen is often discovered when a girl starts her period. Because menstrual blood cannot get out of the vagina, the blood backs up. This causes pain and pressure in the pelvic area. Imperforate hymen is treated with surgery to create an opening in the hymen. Surgical Therapy The timing of surgical therapy is based on the presence of symptoms. A symptomatic mucocele manifesting in a neonate should be treated expediently but is not considered a surgical emergency. If an asymptomatic patient is diagnosed with an imperforate hymen without a mucocele during childhood, this patient can be treated after the onset of puberty and prior to the development of a hematocolpos or hematometra. The presence of estrogen stimulation in puberty facilitates surgical repair and healing. While expedient treatment of an imperforate hymen is appropriate when it manifests in an adolescent with hematometra and hematocolpos, the procedure should not be performed on an emergent basis without an appropriate preoperative evaluation. Surgical correction should be definitive. A diagnostic technique, (eg, needle aspiration in the office setting), should not be used to confirm the diagnosis because this can allow the introduction of bacteria into what had been a sterile hematocolpos or hematometra, setting the stage for pyocolpos or pyometrium, with the potential to adversely affect fertility." /> *Thank you for your help identifying this procedure, NoelPuppet and sleevesister! Here is one with some lovely music, but, no speaking.* The hymen is the thin tissue around the entry of the vagina that usually has an opening for menstrual blood to pass through. Imperforate hymen means that the hymen does not have an opening, so the entry of the vagina is completely closed off by the hymen. Imperforate hymen is often discovered when a girl starts her period. Because menstrual blood cannot get out of the vagina, the blood backs up. This causes pain and pressure in the pelvic area. Imperforate hymen is treated with surgery to create an opening in the hymen. Surgical Therapy The timing of surgical therapy is based on the presence of symptoms. A symptomatic mucocele manifesting in a neonate should be treated expediently but is not considered a surgical emergency. If an asymptomatic patient is diagnosed with an imperforate hymen without a mucocele during childhood, this patient can be treated after the onset of puberty and prior to the development of a hematocolpos or hematometra. The presence of estrogen stimulation in puberty facilitates surgical repair and healing. While expedient treatment of an imperforate hymen is appropriate when it manifests in an adolescent with hematometra and hematocolpos, the procedure should not be performed on an emergent basis without an appropriate preoperative evaluation. Surgical correction should be definitive. A diagnostic technique, (eg, needle aspiration in the office setting), should not be used to confirm the diagnosis because this can allow the introduction of bacteria into what had been a sterile hematocolpos or hematometra, setting the stage for pyocolpos or pyometrium, with the potential to adversely affect fertility." />
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02-28-2013, 08:32 PM
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Imperforate Hymen (Video NOT in English!)
*I am hoping one of you knows the language in this video. I cannot tell what is going on.* <iframe width="420" height="315" src="http://www.youtube.com/embed/A1KxnjCumYc" frameborder="0" allowfullscreen></iframe> *Thank you for your help identifying this procedure, NoelPuppet and sleevesister! Here is one with some lovely music, but, no speaking.* <iframe width="420" height="315" src="http://www.youtube.com/embed/ELE4JS8XAxc" frameborder="0" allowfullscreen></iframe> The hymen is the thin tissue around the entry of the vagina that usually has an opening for menstrual blood to pass through. Imperforate hymen means that the hymen does not have an opening, so the entry of the vagina is completely closed off by the hymen. Imperforate hymen is often discovered when a girl starts her period. Because menstrual blood cannot get out of the vagina, the blood backs up. This causes pain and pressure in the pelvic area. Imperforate hymen is treated with surgery to create an opening in the hymen. Surgical Therapy The timing of surgical therapy is based on the presence of symptoms. A symptomatic mucocele manifesting in a neonate should be treated expediently but is not considered a surgical emergency. If an asymptomatic patient is diagnosed with an imperforate hymen without a mucocele during childhood, this patient can be treated after the onset of puberty and prior to the development of a hematocolpos or hematometra. The presence of estrogen stimulation in puberty facilitates surgical repair and healing. While expedient treatment of an imperforate hymen is appropriate when it manifests in an adolescent with hematometra and hematocolpos, the procedure should not be performed on an emergent basis without an appropriate preoperative evaluation. Surgical correction should be definitive. A diagnostic technique, (eg, needle aspiration in the office setting), should not be used to confirm the diagnosis because this can allow the introduction of bacteria into what had been a sterile hematocolpos or hematometra, setting the stage for pyocolpos or pyometrium, with the potential to adversely affect fertility. · |