title: Treatment of microperforate hymen with serial dilation: a novel approach.
abstract: BACKGROUND
  Microperforate and imperforate hymens are one of the most common causes of vaginal outflow obstruction in the adolescent population. To date, these hymen anomalies are traditionally treated by hymenectomy with a cruciate excision.
  
  
  METHODS
  We report 2 cases of adolescent women with a microperforate hymen who were successfully and minimally invasively treated with progressive dilation with Hegar cervical dilators until a number 23 dilator was reached under anesthesia in the OR.
  
  
  CONCLUSIONS
  Minimally invasive treatment of microperforate hymen with the use of progressive cervical dilators may be an alternative technique to the traditional excisional hymenectomy. Our patients reported satisfaction and minimal postoperative pain or scarring at 2 weeks and 6 months after the procedure. This technique can be an additional option for all women, especially those with cultural beliefs in virginity.
authors.affiliation: North Shore University Hospital - LIJ Health System, Manhasset, NY. Electronic address: Thalia.segal@gmail.com.
authors.forename: Thalia R
authors.initials: TR
authors.lastname: Segal
authors.affiliation: North Shore University Hospital - LIJ Health System, Manhasset, NY.
authors.forename: Wendy B
authors.initials: WB
authors.lastname: Fried
authors.affiliation: North Shore University Hospital - LIJ Health System, Manhasset, NY.
authors.forename: Eileen Y
authors.initials: EY
authors.lastname: Krim
authors.affiliation: SUNY Downstate Medical Center, Brooklyn, NY.
authors.forename: Deep
authors.initials: D
authors.lastname: Parikh
authors.affiliation: North Shore University Hospital - LIJ Health System, Manhasset, NY.
authors.forename: David L
authors.initials: DL
authors.lastname: Rosenfeld
mesh_terms: D000293:Adolescent; D000013:Congenital Abnormalities; D004106:Dilatation / Q000379:methods*; D005260:Female; D006801:Humans; D006924:Hymen / Q000002:abnormalities* / Q000601:surgery; D008599:Menstruation Disturbances / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012746:Sexual Abstinence
keywords: Hymenectomy; Hymenotomy; Imperforate hymen; Microperforate hymen; Surgical correction