Non-surgical Treatment of Vaginal Agenesis Using a Simplified Version of Ingram's Method.
10.3349/ymj.2006.47.6.892
- Author:
Mee Hwa LEE
1
Author Information
1. Department of Obstetrics and Gynecology, Bundang CHA Hospital, Pochon CHA University, Gyeonggi-do, Korea. yeegen@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Vaginal agenesis;
vaginal dilation;
Mayer-Rokitansky-Kuster-Hauser syndrome;
simplified Ingram's method
- MeSH:
Vagina/*abnormalities/pathology;
Humans;
Gynecology/instrumentation/methods;
Female;
Adult;
Abnormalities/therapy
- From:Yonsei Medical Journal
2006;47(6):892-895
- CountryRepublic of Korea
- Language:English
-
Abstract:
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-Kster-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.
