A New Practical Surgical Technique for Hymenoplasty: Primary Repair of Hymen With Vestibulo-Introital Tightening Technique (VITT).

BACKGROUND: Hymenoplasty in genital cosmetic surgery has a distinct location with its ethical and psychological issues. It is performed in order to narrow the vaginal opening to ensure vaginal bleeding with a penetration. There are various kinds of techniques with different success rates. OBJECTIVES: We report a new hymenal reconstruction technique with vestibulo-introital tightening with the results of 145 procedures. METHODS: The new technique includes diamond shaped incision to the vestibulum with the base in the posterior midline and superior corner 2-3 cm higher above the hymen. The angles are accommodated according to the degree of tightening and the submucosal layer is closed from the apex downwards involving the vaginal mucosa. RESULTS: The satisfaction rate of the patients was 99.3 %. No adverse events were observed. CONCLUSIONS: Compared with previous techniques described, this hymenal reconstruction technique is an alternative with the advantage of low risk of loosening because the tension on hymen alone is decreased. Additional tightening of the introitus increase the satisfaction rates in some of the patients.