The Hymenoplasty Procedure
ON THE APPOINTMENT DAY FOR THE HYMENOPLASTY
- On your appointment, you are going to meet Dr. Vitasna for discussion. You will be informed of the procedure details again. You may ask Dr. Vitasna for any additional information including consent forms and post-operative suggestion form.
- You may also be asked about your expectations for treatment and if you have any allergies or any condition that wouldn't make you a good candidate for the procedure, as well as other additional inquiries. In case of uncertainty, doubt, worry, or for being uncomfortable for any reason, you should postpone the procedure.
- You have to refrain from drinking water or food for at least 6 hours prior to the surgery in order to decrease the risk of aspirating gastric contents during or after surgery. This complication is very serious and you need to strictly follow our recommendations.
ABOUT THE HYMENOPLASTY PROCEDURE
- The procedure is performed in our operating room for approximately 1 hour under intravenous (IV) sedation or general anesthesia by our board-certified anesthesiologist.
- While you are sleeping, local anesthesia is applied in the surgical area, the hymen ring and tissues, and Dr. Vitasna will perform the surgery to reconstruct the torn hymen. The procedure is extremely delicate and precise bringing the hymen ring and tissues into its closest approximation. The areas or upper layer of tissues which were torn is removed. Then after they are removed the edges are brought back together, then they are approximated with stitches to reform the star-shaped or the hymen ring as it was prior to the damage. The suturing is done alternatively with 2 or 3 layers using small, slow absorbent suture to avoid post-operative bleeding.
AFTER THE HYMENOPLASTY PROCEDURE
- You will be monitored at recovery room for 1 hour. When you are conscious with normal vital signs, the anesthesiologist will allow you to be monitored in the In-patient Building. Nausea and vomiting may be experienced, as a side effect of the spinal anesthesia or the general anesthesia, which is noted to be relieved as soon as its effect wears off.
- In the In-patient Building, you will be given antibiotics, anti-inflammatory and acetaminophen to lessen the wound pain, and laxative drug. If the pain will not be relieved, you should inform the nurse for an analgesic injection.
- Urinary frequency or difficulty in urination may be noted due to the tension in the vaginal opening (for the Hymenoplasty with mini-Perineoplasty). A Foley catheter may be inserted to avoid the retention of urine especially in the first few days after the procedure. Then, when the tension disappears, you will be able to urinate.
- You are allowed to take a shower after the removal of the urinary catheter.
- Dr. Vitasna will allow you to return home after the following things are checked: --no abnormal bleeding from the surgical wound, --the post operative instructions care are being reviewed with you and --you can urinate after the urinary catheter removal.