Hymenoplasty Experience: Factors Associated with Dehiscence (Hymenoplasty Complications)

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dc.contributor.authorCömert, Erhan
dc.contributor.authorKöle, Emre
dc.contributor.authorSaraç, Ömer Doğukan
dc.contributor.authorDoğan, Ozan
dc.contributor.authorCaliskan, Eray
dc.date.accessioned2026-01-24T12:00:49Z
dc.date.available2026-01-24T12:00:49Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractPurpose: To evaluate outcome of hymenoplasties in private clinics and investigate the factors affecting the risk of dehiscence Method: A retrospective cross-sectional survey of Obstetrics and Gynecology specialists trained over the last five years was conducted. Specialists from private clinics completed surveys on hymenoplasties performed. Rates and types of complications were requested and factors associated with wound dehiscence in patients undergoing permanent hymenoplasty was investigated with multivariate analysis. Results:. A total of 968 patients were included. Hymenoplasty was performed for revirgination in 874 cases (90.2%), incision of the hymen for gynecological procedures in 82 (8.4%) cases and trauma in 12 cases (1.2%). Complications included wound dehiscence (26.1%), infection (1.7%), bleeding (1.7%), pain (1.5%), itching (1.4%) and dyspareunia (0.5%). The technique was permanent in 714 cases and temporary in 254 cases. Among the permanent hymenoplaty cases, multivariate logistic regression analysis showed that obesity (OR=3.1, 95%CI: 1.5-6.2, p=0.001) and tobacco use (OR=2.2, 95%CI: 1.3-3.8, p=0.003) increases the risk of dehiscence. Sedation decreased the risk of dehiscence when compared to local infiltration anesthesia (OR=0.56, 95%CI: 0.33-0.99, p=0.04). Every decrease in the polyglactin suture caliber decreased the risk of dehiscence (OR=0.22, 95%CI: 0.16-0.3, p<0.001) This study showed that using 5.0 sutures, omitting infiltration anesthesia, and avoiding tobacco use may help decrease wound dehiscence after hymenoplasty.
dc.identifier.doi10.31067/acusaglik.1633538
dc.identifier.endpage366
dc.identifier.issn1309-470X
dc.identifier.issn1309-5994
dc.identifier.issue3
dc.identifier.startpage362
dc.identifier.trdizinid1322903
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1322903
dc.identifier.urihttps://doi.org/10.31067/acusaglik.1633538
dc.identifier.urihttps://hdl.handle.net/20.500.12868/3726
dc.identifier.volume16
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofAcıbadem Üniversitesi Sağlık Bilimleri Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR-Dizin_20260121
dc.subjectComplications
dc.subjectsuture
dc.subjectsurgical technique
dc.subjectinfiltration anesthesia
dc.subjectHymenoplasty
dc.subjectwound dehiscence
dc.titleHymenoplasty Experience: Factors Associated with Dehiscence (Hymenoplasty Complications)
dc.typeArticle

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