The hymen is a membranous formation located approximately 2 cm from the entrance of the vagina. The blood supply of the hymen is very low, so it is very difficult to repair. Although the repair of newly formed tears is relatively easier, it does not matter when the hymen was torn, how many times sexual intercourse took place, whether events such as abortion, miscarriage or childbirth occurred in permanent hymen repair performed by removing the flap.
Flap is the name given to the tissue removed from the vaginal wall and the hymen is reconstructed using this tissue. When the male genitalia passes through this area with sexual intercourse, the tissues are torn and bleeding occurs. The main purpose of such procedures is to ensure that bleeding occurs with intercourse. This post-operative hymen repair cannot be understood by the partner of the person, but it can be understood if examined by a gynecologist or forensic medicine specialist. It cannot be understood that the hymen was repaired during the examination or during the birth in the future. In this type of surgery, if there is an enlargement in the vagina, this can be repaired in the same session. This repair is important in terms of both the harmony of the tissues during healing and the restoration of the enlarged vagina after abortion, frequent intercourse or childbirth.
Another important issue in the repair of the hymen is the regular use of the drugs given after the surgery, regular dressings and regular visits to the controls. These issues are at least as important as the proper surgical procedure. No matter how good the surgical result is, infection after the operation may adversely affect the success of the operation.
Permanent repair of the hymen takes an average of 30 minutes. The procedure is usually performed under local anesthesia by anesthetizing, but in some cases, it can also be performed under general anesthesia according to the patient’s request. After the surgery, the patient can go home and continue his normal daily life the next day. We recommend our patients to stay away from activities that require opening the legs or applying direct pressure to the surgical area, such as sports, weight lifting or cycling for 1 week. We inform our patients about the period after recovery and their controls, according to the state of recovery at the follow-up visit 1 week later.