The Use of Interdigitating Y-Flap Technique for Imperforate Hymen

Alfa Putri Meutia; Kevin Yonathan; Gita Nurul Hidayah; Fernandi Moegni

doi:10.1016/j.jpra.2021.12.006

The Use of Interdigitating Y-Flap Technique for Imperforate Hymen

JPRAS Open. 2022 Jan 27:32:43-47. doi: 10.1016/j.jpra.2021.12.006. eCollection 2022 Jun.

Authors

Alfa Putri Meutia^{1

2}, Kevin Yonathan³, Gita Nurul Hidayah^{1

2}, Fernandi Moegni^{1

2}

Affiliations

¹ Division of Urogynecology and Reconstruction Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia - dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
² Jakarta Urogynecology Center (JUN Center), YPK Mandiri Hospital, Jakarta, Indonesia.
³ Faculty of Medicine, Universitas Indonesia - dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Abstract

Imperforate hymen is a rare condition affecting 1 of 2,000 women worldwide. Its treatment is surgical hymenectomy to relieve obstruction and reduce the risk of secondary endometriosis. Current surgical techniques for imperforate hymen pose risks of postoperative complications such as stenosis and ascending infection; thus, a new technique is needed. A case of a 12-year-old girl with a progressively bulging mass was presented. Physical examination revealed hematocolpos due to imperforate hymen. Surgery, using interdigitating Y-flap technique, was performed on the patient. The surgical outcome was satisfactory, and no postoperative complication was found during a follow-up visit.

Keywords: hematocolpos; imperforate hymen; interdigitating Y-flap.

Publication types

Case Reports