Oelschlager Anne-Marie Amies, Debiec Katherine, Appelbaum Heather
aDepartment of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington bDepartment of Obstetrics and Gynecology, Hofstra-Northwell School of Medicine, Hempstead, New York, USA.
Curr Opin Obstet Gynecol. 2016 Oct;28(5):345-9. doi: 10.1097/GCO.0000000000000302.
Primary vaginal dilation is patient controlled, safe, less painful, and much lower cost compared with operative vaginoplasty and is considered first-line treatment for vaginal agenesis for women with Mayer-Rokitansky-Küster-Hauser syndrome and androgen insensitivity syndrome.
This review will highlight studies that assess the optimal methods of primary vaginal dilation and clarify ideal counseling, frequency of dilation, management of side-effects, and long-term physical and psychological outcomes.
Providers who care for women with vaginal agenesis should be prepared to not only teach the technical skill of dilation, but also to assess readiness and troubleshoot symptoms associated with dilation.
与手术阴道成形术相比，原发性阴道扩张由患者自行控制，安全、疼痛较轻且成本低得多，被认为是患有迈耶-罗基坦斯基-库斯特-豪泽综合征和雄激素不敏感综合征的女性阴道发育不全的一线治疗方法。
本综述将重点介绍评估原发性阴道扩张最佳方法的研究，并阐明理想的咨询方式、扩张频率、副作用管理以及长期的身体和心理结果。
照顾阴道发育不全女性的医疗人员不仅应准备好教授扩张的技术技巧，还应评估患者的准备情况并解决与扩张相关的症状。
