Plastic and silicone vaginal dilatorsZSI 200 NS vaginal expander
A vaginal dilator (sometimes called a vaginal trainer)[1] is an instrument used to gently stretch the vagina. They are used when the vagina has become narrowed (vaginal stenosis), such as after brachytherapy for gynecologic cancers,[2] and as therapy for vaginismus and other forms of dyspareunia.[3]
There is evidence for dilator use[4] across many different diagnoses with fair to good results. This includes following cancer treatments and for vaginal agenesis conditions. The evidence presents varying approaches and protocols.
Vaginal dilators, also called vaginal stents or vaginal expanders, can be inflatable and are used during surgeries.[5][6] Vaginal stents are routinely used in postoperative care for transgender patients who have undergone vaginoplasty as part of gender confirmation surgery. They are also used for various conditions, such as vaginal agenesis.[7] The vaginal expander is used immediately after surgery to keep the passage from collapsing, and regularly thereafter to maintain the viability of the neovagina. Frequency of use requirements decrease over time, but remains obligatory lifelong.[8][9]
^"Vaginismus". National Health Service. 11 January 2018. Retrieved 2020-02-29.
^Idama, T. O.; Pring, D. W. (2000). "Vaginal dilator therapy-an outpatient gynaecological option in the management of dyspareunia". Journal of Obstetrics and Gynaecology. 20 (3): 303–05. doi:10.1080/01443610050009683. PMID 15512559. S2CID 218856132.
^Coskun, Ayhan; Coban, Yusuf Kenan; Vardar, Mehmet Ali; Dalay, Ahmet Cemil (10 July 2007). "The use of a silicone-coated acrylic vaginal stent in McIndoe vaginoplasty and review of the literature concerning silicone-based vaginal stents: a case report". BMC Surgery. 7 (1): 13. doi:10.1186/1471-2482-7-13. PMC 1947946. PMID 17623058.
^Barutçu, Ali; Akgüner, Muharrem (November 1998). "McIndoe Vaginoplasty with the Inflatable Vaginal Stent". Annals of Plastic Surgery. 41 (5): 568–569. doi:10.1097/00000637-199811000-00020. PMID 9827964.
^Antoniadis, N; Charles, G; Mejías, I; Pabón, R (March 2011). "Vaginoplastia: modificación de la técnica de McIndoe usando esponja de gel hemostático" [Vaginoplasty: modification to McIndoe techique [sic] using hemostatic gel sponge]. Cirugía Plástica Ibero-Latinoamericana. 37 (1): 73–77. doi:10.4321/S0376-78922011000100010.
^Rinzler, Carol Ann (12 May 2010). The Encyclopedia of Cosmetic and Plastic Surgery. Facts on File library of health and living. New York: Infobase Publishing. p. 195. ISBN 978-1-4381-2702-6. OCLC 223107099. Retrieved 31 May 2018.
^Georgiade, Gregory S.; Georgiade, Nicholas G. (1992). Textbook of plastic, maxillofacial, and reconstructive surgery. Baltimore, Maryland: Williams & Wilkins. ISBN 978-0-683-03454-7. OCLC 455225627. Retrieved 31 May 2018.
lifelong. With solid vaginaldilators, the patient starts with the smallest dilator size, then gradually increasing until the largest dilator size is reached...
vagina is typically treated with vaginaldilator therapy (VDT), but evidence is lacking for its efficacy. Vaginaldilators are smooth, cylindrical-shaped...
cervical dilator), urethra, esophagus, or vaginal introitus. A pharmacological treatment used to induce dilation, such as cervical dilation, vasodilation...
resembling an anal dilator Proctoscope, another medical device inserted anally Vaginaldilator, an equivalent device for dilating the vagina Francisco...
labiaplasty, normalizing appearance, vagina creation, initiating vaginaldilation. Vaginal atresia, or congenital absence of the vagina, can be another reason...
intercourse, the main treatments are self-dilation methods (using intra-vaginal cylinders or inflatable expanders (vaginal stents) of increasing size) and surgical...
use of Hegar dilators (sometimes called vaginal trainers), progressively increasing the size of the dilator inserted into the vagina. The technique is...
Vaginal atresia is a condition in which the vagina is abnormally closed or absent. The main causes can either be complete vaginal hypoplasia, or a vaginal...
introitus (the vaginal opening), which requires additional surgery to correct. Vaginaldilators are required postoperatively to prevent vaginal stenosis from...
menstrual periods, which may signal ovulation. During vaginal childbirth, the cervix must flatten and dilate to allow the fetus to progress along the birth canal...
A vaginal delivery is the birth of offspring in mammals (babies in humans) through the vagina (also called the "birth canal"). It is the most common method...
main methods: Vaginal birth after caesarean section (VBAC) Elective repeat caesarean section (ERCS) Both have higher risks than a vaginal birth with no...
osmotic dilator absorbs fluid and swells to 3-4 times the initial diameter. Most of the increase in size occurs within 6 hours after the dilator are placed...
softening properties of misoprostol could be absorbed through the cervix and vaginal vault up into the low transverse scar of a typical caesarean section, and...
Vaginal bleeding is any expulsion of blood from the vagina. This bleeding may originate from the uterus, vaginal wall, or cervix. Generally, it is either...
may distract from feeling pleasure and excitement. Both vaginal lubrication and vaginaldilation decrease. When the vagina is dry and undilated, penetration...
thinning due to not enough estrogen. Symptoms may include pain with sex, vaginal itchiness or dryness, and an urge to urinate or burning with urination...
where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million...
A perineal dilator is an inflatable balloon-like device sometimes used to create a functional vagina in women with vaginal agenesis. The device, usually...
with sexual intercourse. Franck's Dilator Method - a physician and then the woman herself applies the vaginaldilator for up to 6 weeks to several months...
In the field of obstetrics, lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissue. Lochia discharge typically...
through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk. Reasons for the operation...
labor, which in turn speeds up the process. Hygroscopic Dilator Hygroscopic dilator is a dilator that is inserted into the cervix and expands in size as...
delivered via caesarean section because it is seen as safer than being born vaginally. Doctors and midwives in the developing world often lack many of the skills...
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