Hymen and Hymenoplasty

The hymen is located 2-3 cm’s from the vulvar entrance. It’s a mucosal fold and has different shapes. The hymen has sociological role rather than medical role. Ethical concerns of hymenoplasty are still discussed. Hymenoplasty operations are considered to be under the Aesthetic Gynaecological Surgery and alternative terms are hymenorrhaphy and revirgination. The aim of the hymenoplasty is reshaping of perforated hymen to it’s original virginal state and ensure bleeding during during first sexual penetration.

Hymenoplasty

The most common technique of hymenoplasty is posterior hymenal repair which also includes slight vaginal and vestibular narrowing and tightening.

The delicate formation of granulation tissue of the vestibule facilitates bleeding during the first penetration.

Before we recommend you have this procedure, you will have an initial consultation with either Professor Manyonda or Miss Gupta. During this consultation we will also assess you by performing internal examination. You will be given a detailed questionnaire to fill in. After we have ascertained your problem, expectations and done an objective assessment, we will recommend a procedure that best suits your need. This can sometimes be a combination of procedures. Women tend to have vaginal narrowing operation during revirgination operation. Vaginal laser rejuvenation and/or surgical vaginal tightening can be provided at the same time during hymenoplasty.

We will also give you an idea about the costs involved.

The procedure will usually be performed in Haumea clinic jointly by Professor Manyonda and Miss Gupta. However depending on where you live, you can also choose to have this done either at Parkside Hospital in Wimbledon under care of Professor Manyonda or Clementine Churchill Hospital in Sudbury Hill under care of Miss Gupta.

Technique of hymenoplasty

It is generally done under local and/or sedation anesthesia. ?A triangle incision is made which has a base in vulvar vestibule and apex in post vaginal wall.?Repair starts from the apex, down to hymenal caruncles. After reaching caruncles, hymenal tissue is sutured side by side, posterior part to posterior, superior part to superior, ventral part to ventral by 4/0 absorbable sutures. (Vicryl, monocryl).

Average time of operation is 20 mins. It also provides vestibular narrowing, a facilitating factor for the bleeding in the first sexual penetration.

Slight bleeding and pain is normal after the operation. You will be given antibiotics for 5 days and analgesic (Paracetamol, neurofen). You will need to avoid heavy sports and heavy lifting for 1 month. You will have a follow up on the second day, after 1 week and at 1 month.

FAQ's

What is hymenoplasty?

Hymen is located 2-3 cm’s from the vulvar entrance. It is a mucosal fold and has different shapes. The aim of the hymenoplasty is reshaping of perforated hymen to it’s original virginal state and ensure bleeding during first sexual penetration.

Is it the same as revirgination?

Yes, another alternative term is hymenorrhaphy.



Will I need any additional procedure?

Women tend to have vaginal narrowing operation during revirgination operation. Vaginal laser rejuvenation and/or surgical vaginal tightening can be provided at the same time during hymenoplasty.

Where will it be performed?

The procedure will usually be performed in Haumea clinic jointly by Professor Manyonda and Miss Gupta. However depending on where you live, you can also choose to have this done either at Parkside Hospital in Wimbledon under care of Professor Manyonda or Clementine Churchill Hospital in Sudbury Hill under care of Miss Gupta.

Technique of hymenoplasty

The most common technique of hymenoplasty is posterior hymenal repair which also includes slight vaginal and vestibular narrowing and tightening. It is generally done under local and/or sedation anesthesia.?A triangle incision is made which has a base in vulvar vestibule and apex in post vaginal wall.?Repair starts from the apex, down to hymenal caruncles. After reaching caruncles, hymenal tissue is sutured side by side, posterior part to posterior, superior part to superior, ventral part to ventral by 4/0 absorbable sutures. (Vicryl, monocryl).

What is the duration of the procedure?

Average time of operation is 20 mins.

Are there any side effects?

Slight bleeding and pain is normal after the operation. However there are no long term side effects. You will be given antibiotics for 5 days and analgesic (Paracetamol, neurofen).

Will I need to take any precaution after the operation?

You will need to avoid heavy sports and heavy lifting for 1 month.

What follow up will I need?

You will have a follow up on the second day, after 1 week and at 1 month.

Professor Isaac Manyonda

Professor Isaac Manyonda
c/o Parkside Hospital, 53 Parkside, Wimbledon, London, SW19 5NX

phone icon Secretary / PA Natasha -
00 44 208 9479877


Consulting Hours

Tuesday: 14:00 – 17:00hrs
Tuesday: 17:40 – 20:00hrs
Thursday: 17:40 – 20:00hrs
Saturday: 08:00 – 12:00hrs

Miss Sahana Gupta

Miss Sahana Gupta
c/o Clementine Churchill Hospital, Sudbury Hill, Harrow, Middlesex, HA1 3RX

phone icon Secretary / PA Pauline -
00 44 7422 502 486


Consulting Hours

Monday: 08:00 – 12:30hrs

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