Vaginal
dilation is proposed as the first choice treatment for patients with
vaginal aplasia, but many patients with MRKH or Rokitansky syndrome (and cases
with CAIS) may require a vaginoplasty.
It is also
necessary to make vaginoplasty in patients with vaginal or cervico-vaginal
atresia with a functional uterus before performing an utero-neovaginal
anastomosis, also in trans-sexual men.
In any case, the
aim of vaginoplasty is the formation of a satisfactory vagina in appearance,
function, and feeling without additional morbidity.
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