HYMENOPLASTY
Hymenoplasty
is one of the commonly requested & performed genital cosmetic
surgery procedures. The media created major role about this procedure.
What is hymen?
The
vagina is the female organ for copulation; it serves as the excretory
duct for the uterus and forms part of the birth canal. The entrance to
the vaginal orifice is covered by a thin mucosal fold called hymen. The
hymen is perforated at the center in virgin, at the first sex the hymen
tears usually posterior or postero laterally, after multiple sexes
usually it tears at 6,2,10 o’clock positions [based on the cases
operated] & the vagina becomes loose. After the child birth
only a
few tags of the hymen remain.

Fig-Anatomy of the female genitalia
What is hymenoplasty?
In
this surgery, the teared mucosa ,usually at 6,2,10 o clock position is
repaired, resulting in restoration of the hymen like before first
sex,resulting in pain/bleeding after the sex.Apart from the technical
repair it will give major psychological relief to the person.

Fig-Hymen in virgin, post virginity loss, post delivery status.
Rarely may we not get teared pieces especially after child birth; such
people require different technique of hymen creation.
This procedure can be clubbed with vaginal tightening and other surgery
like labia reduction, suprapubic liposuction etc.
Whether any artificial material
will be put there?
No, existing mucosal folds used to repair.
Why so much publicity
about this procedure?
The
society is leaning towards western style, more live in relations are
happening, which may not materialize in marriage, still the male
society gives importance to virginity at the time of marriage. This is
the common type of request which we will get.
The second type is post marriage/post delivery requesting for vaginal
tightening and hymenoplasty.
The third type is in the form of surprise gift at the time of birth day
or marriage anniversary.
The fourth type is rape victims, wants restoration of hymen.
Whether this procedure
will restore virginity?
The
virginity is in peoples mind; the hymen may tear due to various reasons
like sports etc/ruptured hymen may not indicate loss of virginity.
Hymenoplasty is a method to restore hymen by technical method, done not
to restore virginity.
How major is the
procedure?
Hymenoplasty
is a minor procedure, can be done under local anesthesia or general
anesthesia, most of the people prefer general anesthesia.
How many days of
admission will be required?
No need for the admission, the person can go home same day.
How many days of rest
required?
No need to take any rest after this procedure.
Any special precautions
required before or after the procedure?
The
surgery will be done after the menses. The person should avoid over
stretching of the thighs like 2 wheeler riding etc for 3 weeks.
Whether stitches will be
visible after the procedure?
We will put colorless absorbable stitches, usually
dissolve between 2 weeks.
When can the sexual
activity can be resumed/can marry?
After
3 weeks, some amount of pain/bleeding will be there after the sex for
few times. It is advisable to avoid oral sex for 6 weeks.
How painful is the
procedure?
Mild pain will be there for 48 hours, can be controlled by
taking tablets.
What are the side effects
of this procedure?
No major side effects involved after this procedure.
Whether it will affect
future pregnancy/vaginal delivery?
No, it is not going to affect future pregnancy or delivery
Any other surgery can be
done with this?
Yes, supra pubic liposuction, labia reduction, vaginal
tightening and other non genital surgery can be done.
Any dressing will be
there?
No, the person needs to wear sanitary pad if required.
What is about the privacy?
Total confidentiality/privacy will be maintained. With
request can be done early morning or at late night.
Whether lady doctors will
be there?
With request, the following female team can be
provided-anesthetists, OT
technician, staff nurse, assistant surgeon & house keeping in
theatre.
Newpaper Articles on this topic written by Dr. Naveen Rao
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