Non-surgical treatment of vaginal agenesis using a simplified version of Ingram's method.
Non-surgical vaginal dilation is a safe and effective method for the creation of neovagina in the patient with vaginal agenesis. Compared to surgical methods, non-surgical vaginal dilation has the advantage of low morbidity, the creation of a more physiologic vaginal milieu, and no surgical scarring. To overcome some technical limitations of original Frank's method, in 1981 Ingram proposed a modification of the technique that used dilators of gradually increasing size mounted on a bicycle seat stool. Although several studies have shown satisfactory outcomes using Ingram's method, there are some practical difficulties in making and handling the bicycle seat stool. This article reports a case of a 24-year-old woman with Mayer-Rokitansky-Küster-Hauser syndrome whose vaginal agenesis is successfully treated with a simplified version of Ingram's method. This method uses dilators of gradually increasing size mounted on an ordinary chair instead of a bicycle seat stool. When necessary, the patient may use a fulcrum under the dilator.
Lee
Mee-Hwa
MH
Department of Obstetrics and Gynecology, Bundang CHA Hospital, Pochon CHA University, Korea. yeegen@cha.ac.kr
D000328:Adult; D000013:Congenital Abnormalities / Q000628:therapy; D005260:Female; D006176:Gynecology / Q000295:instrumentation / Q000379:methods; D006801:Humans; D014621:Vagina / Q000002:abnormalities* / Q000473:pathology