Imperforate hymen presenting with fecal frequency and use of stay sutures at time of hymenectomy. A case report.

BACKGROUND: Imperforate hymen is a rare gynecological disorder that can lead to a number of short-term and even long-term complications.

CASE: A 14-year-old girl presented complaining of fecal frequency and urgency for over 1 year. On examination she was found to have an imperforate hymen.

CONCLUSION: Although often diagnosed in association with cyclic monthly pelvic pain, we present a case in which imperforate hymen presented with fecal frequency and urgency. Surgical management is the mainstay of treatment. In our experience we found the addition of stay sutures to be quite valuable in facilitating appropriate excision of tissue and feel that they should be considered as an adjunct to the classically described hymenectomy.