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

Abstract

To report the use of progressive, high-frequency movement-based dilator therapy (MBDT) to create a neovagina in a patient with congenital vaginal agenesis. Case report. Tertiary care military hospital. A 22-year-old woman with congenital vaginal agenesis. Self-directed MBDT. Vaginal elongation by self-directed MBDT. 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. 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.