Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy

Objective: To report the use of progressive, high-frequency movement-based dilator therapy (MBDT) to create a neovagina in a patient with congenital vaginal agenesis. Design: Case report. Setting: Tertiary care military hospital. Patient(s): A 22-year-old woman with congenital vaginal agenesis. Inte...

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Main Authors: Katherine Miles, P.T., D.P.T., W.C.S (Author), Shana Miles, M.D., Ph.D (Author)
Format: Book
Published: Elsevier, 2023-09-01T00:00:00Z.
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Summary:Objective: To report the use of progressive, high-frequency movement-based dilator therapy (MBDT) to create a neovagina in a patient with congenital vaginal agenesis. Design: Case report. Setting: Tertiary care military hospital. Patient(s): A 22-year-old woman with congenital vaginal agenesis. Intervention(s): Self-directed MBDT. Main Outcome Measure(s): Vaginal elongation by self-directed MBDT. Result(s): The patient achieved a 6.5-cm vaginal length after 6 pelvic health physical therapy sessions over a span of 4 months of progressive, high-frequency MBDT. Conclusion(s): Progressive, high-frequency MBDT should be considered as part of a first-line dilator therapy regimen for patients with congenital vaginal agenesis interested in creating a neovagina.
Item Description:2666-3341
10.1016/j.xfre.2023.05.007