A Bovie with three-fourths of its tip shielded can be used to excise the hymen close to the hymenal ring. After the fluid is drained, the hymenal area is further opened and the vaginal mucosa is sutured to the hymenal ring to prevent recurrence. Puncture and drainage of a hematocolpos without a definitive surgical procedure is not recommended. Surgery for transverse a vaginal septum depends on location, thickness, and need for vaginoplasty. After establishing the diagnosis, consultation with a pediatric gynecologist or urologist familiar with these conditions is recommended.
Prognosis is excellent, and full recovery is typical.
Always perform a genital inspection in patients presenting with amenorrhea. Outflow obstructions cause cryptomenorrhea, not true primary amenorrhea. Structural abnormalities of the female reproductive tract. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.