A nonsurgical approach to the treatment of vaginal agenesis

Vaginal dilator pressure treatment is a nonsurgical treatment method to extend orcreate a vagina for patients with vaginal agenesis. In this chapter, the term dilation is used to describe the extension of width and length of the vaginal pit (dilatation). The dilator is a cylindrical instrument of moulded plastic, which is repeatedly applied with pressure. Treatment to develop a short or absent vagina is offered to women who desire the capacity for sexual activity that includes sexual intercourse or other vaginal penetration. Dilation treatment relies upon patient adherence and, therefore, requires a scn~pulous patient-centred approach by the multidisciplinary team.