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To correct vaginal agenesis there are lots of techniques. - Intermitent pressure: known as Frank and sometimes associated with natural intercourse - Continuous pressure: Vecchietti - Surgery with small intestine: Wilfingseder - Surgery with large intestine (ileum): Baldwin - Surgery with large intestine (colon, sigmoid): Pratt - Surgery with amnion - Surgery with skin grafts: Abbe (split thickness skin); McIndoe (full thickness skin) - Surgery with skin retails: Okada; Williams; Malaga Frank method includes using dilators to achieve a vagina. Usually it is done 2 a day, duraing 20 minutes, under patient control. Dilators are rigid objects and as dilation goes on, we change to bigger ones. Hystologic and Bacteriologic studies show that microflora and pH are close to a normal vagina. This method doesn't always shows good results: vaginal agenesis must be incomplete (we need a dimple to start with) and tissues must be elastic (this varies in each person). Pressure can cause injuries that will result in fibrosis and infection and affect the method. You need to use dilators or have regular sexual intercourse in order to have a functional oppened vagina.
Approximate Word count = 682
Approximate Pages = 2.7
(250 words per page double spaced)
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