ما هو علاج الخط الأول لتضيق ورتق المهبل؟

References

DOI: 10.1097/AOG.0000000000002458

• Primary vaginal elongation by dilation is the appropriate first-line approach in most patients because it is safer, patient controlled, and more cost effective than surgery.
• She should be instructed to place progressive dilators on the distal vaginal apex for 10–30 minutes one to three times per day.
• Nonsurgical vaginal elongation by dilation should be the first-line approach.
• When well-counseled and emotionally prepared, almost all patients (90–96%) will be able to achieve anatomic and functional success by primary vaginal dilation.
• Although some studies define success anatomically by a length of 6 cm or longer, the best definition of success is a vagina that is functional for comfortable sexual activity, as reported by the patient.