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., Shana Miles, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:F&S Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666334123000685
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author Katherine Miles, P.T., D.P.T., W.C.S.
Shana Miles, M.D., Ph.D.
author_facet Katherine Miles, P.T., D.P.T., W.C.S.
Shana Miles, M.D., Ph.D.
author_sort Katherine Miles, P.T., D.P.T., W.C.S.
collection DOAJ
description 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.
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spelling doaj.art-3eba231ccaab4608b53d0b19f6fc9c422023-09-09T04:56:31ZengElsevierF&S Reports2666-33412023-09-0143321325Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapyKatherine Miles, P.T., D.P.T., W.C.S.0Shana Miles, M.D., Ph.D.1Department of Gynecologic Surgery and Obstetrics, Uniformed Services University, Bethesda, Maryland; Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center, Bethesda, Maryland; Reprint requests: Katherine Miles, P.T., D.P.T., W.C.S., Department of Gynecologic Surgery and Obstetrics, Uniformed Services University, Bethesda, Maryland; and Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, Maryland 20889.Department of Gynecologic Surgery and Obstetrics, Uniformed Services University, Bethesda, Maryland; Department of Gynecologic Surgery and Obstetrics, Mike O’Callaghan Military Medical Center, Nellis Air Force Base, NevadaObjective: 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.http://www.sciencedirect.com/science/article/pii/S2666334123000685Vaginal agenesisdilator therapypelvic floor physical therapymovement-based dilator therapy
spellingShingle Katherine Miles, P.T., D.P.T., W.C.S.
Shana Miles, M.D., Ph.D.
Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
F&S Reports
Vaginal agenesis
dilator therapy
pelvic floor physical therapy
movement-based dilator therapy
title Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
title_full Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
title_fullStr Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
title_full_unstemmed Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
title_short Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
title_sort nonsurgical neovagina creation in congenital vaginal agenesis a case report of movement based dilator therapy
topic Vaginal agenesis
dilator therapy
pelvic floor physical therapy
movement-based dilator therapy
url http://www.sciencedirect.com/science/article/pii/S2666334123000685
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