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. 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.