@book {Michala2015c,
	title = {{Frank dilators}},
	series = {Female Genital Tract Congenital Malformations: Classification, Diagnosis and Management},
	year = {2015},
	abstract = {{\textcopyright} Springer-Verlag London 2015. Aim: To present the technique and the results of treatment of vaginal aplasia with the use of Frank{\textquoteright}s Dilators and to critically report its potential advantages and limitations.Brief description of the reviewed data: Vaginal dilation involves the insertion of graduated dilators in the vaginal dimple and applying pressure. It is recognized as the first line method for creating a vagina in women with Mayer Rokitansky Kuster Hauser syndrome (MRKH) and Complete Androgen Insensitivity Syndrome (CAIS). An 80 {\%} success rate is reported with improvement of sexual satisfaction and anxiety scores. There are only few complications reported in the literature making it a low risk and low cost method to create a vagina. Clinical implications: Vaginal dilation therapy should be offered to all women presenting with MRKH or CAIS prior to embarking on a surgical vaginoplasty. Adequate psychological support during the process is likely to improve success rates as well as the overall wellbeing of patients diagnosed with uterovaginal aplasia.Open issues for further research: More research is required on long term outcomes of vaginal dilation therapy as well as on the comparison between surgical and conservative methods to create a vagina.},
	keywords = {CAIS, Dilators, MRKH, Vaginal dilation},
	isbn = {9781447151463},
	doi = {10.1007/978-1-4471-5146-3_16},
	author = {Michala, L.}
}
