Hymen Restoration: An Experience From a Moroccan Center

Background Hymenoplasty is one of the least described vulvovaginal procedures in plastic surgery without any surgical standard that attempts to restore the hymen’s ability to bleed during sexual intercourse on a couple’s wedding night. Objectives The objective of this study is to report outcomes from a Moroccan retrospective study of a series of 529 patients who underwent either a hymenorrhaphy or a hymenoplasty. Methods This was a retrospective study of 529 patients who underwent hymen restoration at a center in Morocco between April 2010 and April 2019. The data were collected according to the requirements of the center through preoperative and postoperative consultations, presential or phone post-coital interviews. The procedure consisted of suturing the edges of the hymen remnants using Vicryl 5-0, leaving a small opening in the newly reconstructed hymen. Two techniques – Hymenal Flap Hymenoplasty (HLH) and Vaginal Flap Hymenoplasty (HLV) – are used depending on the presence or absence of hymen remnants. Results A total of 529 patients were underwent hymen restoration, including 42% hymenorrhaphies, 58% hymenoplasties, 39% HLH, and 19% HLV. The mean age of the patients was 32 years. Of the 227 women who underwent a hymenorrhaphy, no failure was reported, and all the patients who had sexual intercourse within 15 days of the procedure experienced vaginal bleeding. Of the 99 hymenoplasties using vaginal flaps, only one failure was reported. Conclusions The techniques used in our cohort are safer and the complications are minor with general satisfaction of patients.