title: When virginity does matter: rigid hysteroscopy for diagnostic and operative vaginoscopy--a series of 26 cases.
abstract: Virginity in adult women, although a personal decision, is a limiting factor for gynecologists in diagnosis and treatment. This report presents 26 cases of virgin patients with various gynecologic problems: 11 with vaginal bleeding, 7 with heavy discharge and foul odor, 6 with protruding vaginal mass, and 2 with a sensation of vaginal pressure and pain. A rigid hysteroscopy setting was used for diagnostic and operative vaginoscopy. Eleven foreign bodies were removed, mostly clothing fibers and a piece of plastic. In 5 cases, cervical polyps and a subserous myoma were resected and cut into pieces for removal through the hymenal opening. In conclusion, the use of a rigid hysteroscope as a vaginoscope to replace the speculum in adult virgin patients is feasible and introduces an operative option as well.
authors.affiliation: GATA School of Medicine, Department of Obstetrics & Gynecology, Ankara, Turkey. tansukucuk@gmail.com
authors.forename: Tansu
authors.initials: T
authors.lastname: Küçük
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005547:Foreign Bodies / Q000601:surgery; D006801:Humans; D006924:Hymen / Q000601:surgery; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D009214:Myoma / Q000601:surgery; D011127:Polyps / Q000601:surgery; D012189:Retrospective Studies; D012746:Sexual Abstinence; D002577:Uterine Cervical Diseases / Q000601:surgery; D014621:Vagina / Q000601:surgery