Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy
Katherine Miles, P.T., D.P.T., W.C.S.,
Shana Miles, M.D., Ph.D.
Affiliations
Katherine Miles, P.T., D.P.T., W.C.S.
Department 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.
Shana Miles, M.D., Ph.D.
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, Nevada
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.
