title: Spontaneous Reformation of Imperforate Hymen after Repeated Hymenectomy.
abstract: BACKGROUND
  Imperforate hymen prevents menstrual blood drainage, which causes cyclic lower abdominal pain and amenorrhea. Untreated patients might develop serious complications such as endometriosis and infertility. Hymenectomy represents the adequate treatment.
  
  
  METHODS
  In a 16-year-old female virgin presented with recurrent lower abdominal pain, urine retention, and secondary amenorrhea after 3 hymenectomy surgeries. The examination revealed imperforate hymen. A fourth hymenectomy was performed with continuous locked sutures over all of the edges.
  
  
  CONCLUSIONS
  Recurrent imperforate hymen after hymenectomy should be suspected if symptoms recur. Diagnosis can be achieved through meticulous clinical examination and appropriate imaging techniques.
authors.affiliation: Obstetrics and Gynecology Department, Tanta University Hospital, Tanta, Egypt.
authors.forename: Ahmed M E
authors.initials: AME
authors.lastname: Ossman
authors.affiliation: Obstetrics and Gynecology Department, Tanta University Hospital, Tanta, Egypt.
authors.forename: Yasmine I
authors.initials: YI
authors.lastname: El-Masry
authors.affiliation: Obstetrics and Gynecology Department, Tanta University Hospital, Tanta, Egypt.
authors.forename: Mohamed M
authors.initials: MM
authors.lastname: El-Namoury
authors.affiliation: Obstetrics and Gynecology Department, Tanta University Hospital, Tanta, Egypt. Electronic address: samehmagdyhassan@gmail.com.
authors.forename: Sameh M
authors.initials: SM
authors.lastname: Sarsik
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000568:Amenorrhea / Q000209:etiology; D020884:Colpotomy / Q000379:methods*; D000013:Congenital Abnormalities; D005260:Female; D006801:Humans; D006924:Hymen / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D008599:Menstruation Disturbances / Q000150:complications / Q000473:pathology* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000379:methods*; D016055:Urinary Retention / Q000209:etiology
keywords: Hymenectomy; Imperforate hymen; Recurrent; Spontaneous imperforate hymen reformation