Bodily B Mitchell, Edelmann Anton, Michal Kozdronkiewicz, Mehr Allen
Obstetrics and Gynecology Residency Program, and the Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, Hawaii.
O G Open. 2025 May 29;2(3):e082. doi: 10.1097/og9.0000000000000082. eCollection 2025 Jun.
Pelvic radiation therapy for gynecologic cancers often results in vaginal stenosis, negatively affecting sexual function. Vaginal dilation therapy has low adherence rates. Three dimensional (3D)-printed vaginal molds offer an individualized, passive alternative to maintain vaginal length and prevent stenosis. These personalized molds can be worn comfortably for extended periods, require minimal effort, and can preserve vaginal caliber and length.
A 38-year-old patient with stage IVB adenosquamous cervical carcinoma, treated with pelvic radiation, experienced complete vaginal stenosis. She underwent lysis of vaginal adhesions, with an individualized 3D-printed mold placed after surgery; she resumed normal sexual function 6 months posttreatment.
A customized 3D-printed vaginal mold effectively maintained vaginal caliber and function after reconstructive surgery, increasing the patient's quality of life and sexual function.
妇科癌症的盆腔放射治疗常导致阴道狭窄，对性功能产生负面影响。阴道扩张疗法的依从率较低。三维（3D）打印阴道模具提供了一种个性化的、被动的替代方法来维持阴道长度并防止狭窄。这些个性化模具可长时间舒适佩戴，所需努力极少，且能保持阴道口径和长度。
一名38岁患有IVB期腺鳞癌宫颈癌的患者接受了盆腔放疗，出现了完全性阴道狭窄。她接受了阴道粘连松解术，术后放置了个性化3D打印模具；治疗后6个月恢复了正常性功能。
定制的3D打印阴道模具在重建手术后有效维持了阴道口径和功能，提高了患者的生活质量和性功能。
