The Bicycle Seat Stool in the Treatment of Vaginal Agenesis and Stenosis

Williams, Jared; Lake, Marian; Ingram, J.M.

doi:10.1111/j.1552-6909.1985.tb02219.x

Cited by 20 publications

(11 citation statements)

References 9 publications

(2 reference statements)

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“…For this, patients of the appropriate age are required to place dilators for around 30 minutes per day. Another non-surgical method included patients sitting on a mobile bike seat stool while using Lucite dilators (Williams et al, 1985). An alternative to these non-surgical procedures includes the Abbe-McIndoe procedure.…”

Section: Vaginoplastymentioning

confidence: 99%

Textbook of Plastic and Reconstructive Surgery

Butler¹,

Ghali²,

Kalaskar³

2016

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A CIP catalogue record for this book is available from The British Library.This book is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. The user is advised to always check the product information and clinical procedures with the most up-to-date published product information and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or misuse or misapplication of material in this work.ISBN: 978-1-910634-37-0 (Hbk.) ISBN: 978-1-910634-38-7 (Pbk.) ISBN: 978-1-910634-39-4 (PDF) ISBN: 978-1-910634-40-0 (epub) ISBN: 978-1-910634-41-7 (mobi)

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Section: Vaginoplastymentioning

confidence: 99%

Textbook of Plastic and Reconstructive Surgery

Butler¹,

Ghali²,

Kalaskar³

2016

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“…The Ingram bicycle seat stool stands 24 inches tall (just above chair height) and consists of a wooden base made of 2‐by‐4 inch lumber or a commercial pedestal stool on wheels, a column of pipe, and a bicycle seat of the racing or “male” type [9,10]. Our modified bicycle seat stool consists of a 4‐pronged aluminum base with rubber feet that provide safety and security for the patient.…”

Section: Description Of Old and New Technologiesmentioning

confidence: 99%

“…He described the manual use of graduated vaginal dilators placed at the introital dimple for 20 to 30 minutes 3 times daily, for several months. The Frank technique, however, did not gain wide patient acceptance for several reasons, including fatigue of the patient's hands and fingers from holding the dilator in place with constant pressure, the awkwardness of the various positions used (lithotomy, squatting, or Sims position), and the inability of the patient to participate in other activities during the hours that pressure was applied [9].…”

Section: Introductionmentioning

confidence: 99%

“…The problems associated with the Frank method were largely overcome when Ingram introduced a bicycle seat stool model whereby the patient could use their trunk weight in place of manual and digital exertion [9,10]. Like the Frank method, the Ingram bicycle seat method of dilation also employs the use of dilators in graduated sizes to create pressure on the vaginal dimple, beginning with a dilator of approximately 1.5 cm in diameter and 1.5–10 cm in length.…”

Section: Introductionmentioning

confidence: 99%

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Modification of the Ingram bicycle seat stool for the treatment of vaginal agenesis and stenosis

Lankford

Haefner

2008

Intl J Gynecology & Obste

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The use of nonsurgical techniques for the creation of a neovagina for vaginal agenesis and stenosis has been successful for many patients and is currently recommended as first-line therapy. The Ingram bicycle seat stool technique, a nonsurgical approach, has largely replaced the surgical McIndoe technique as the method of choice for vaginal dilation. It provides an easy and comfortable way for patients to engage in dilation. However, the Ingram bicycle seat stool is not height adjustable. We have created a bicycle seat stool that is height adjustable and will likely provide patients with an improved, more comfortable, and individualized method of dilation.

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“…Nonsurgical options include vaginal dilation with a dilator, while surgical options include the Vecchietti procedure (3-5), Davydov technique (6), McIndoe technique (7) and intestinal vaginoplasty. The first vaginal reconstruction was performed by Amussat in 1832 (8). In 1872, Heppner was the first surgeon who used split thickness skin grafting for vaginoplasty (9).…”

mentioning

confidence: 99%

Treatment of vaginal agenesis using a modified McIndoe technique: Long-term follow-up of 23 patients and a literature review

Baştu

Akhan

Mutlu

et al. 2012

Canadian Journal of Plastic Surgery

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Background Congenital vaginal agenesis is a rare malformation with an incidence of one in 4000 to 5000 female newborns. The purpose of vaginal agenesis treatment is not only to create an adequate passageway for penetration but also to facilitate satisfactory sexual intercourse. Objective To present the results of a modified McIndoe technique with respect to sexual function, vaginal length and complication rates in patients with vaginal agenesis. Methods Between 2002 and 2010, 23 patients with vaginal agenesis were admitted to the Gynecology Clinic of Istanbul University School of Medicine (Istanbul, Turkey) for vaginal reconstruction. All patients underwent a modified McIndoe procedure. The long-term results with a follow-up period ranging from 18 to 118 months are presented. Results The postoperative mean vaginal length was 8.4 cm (range 6 cm to 11 cm) in 19 patients who used the mould regularly. Among 14 patients who used the mould regularly and had partners, only one experienced severe pain during intercourse and 13 reported that they were engaging in satisfactory sexual activity with mild or no pain, and with good mucosal sensitivity. Conversely, two of three patients who used the mould irregularly experienced severe pain during intercourse and had a mean vaginal length of 6 cm (range 4 cm to 8 cm). Conclusion The findings suggest that a modified McIndoe technique is a simple, effective procedure for the treatment of vaginal agenesis; however, proper mould use after surgery remains the cornerstone of the treatment.

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The Bicycle Seat Stool in the Treatment of Vaginal Agenesis and Stenosis

Cited by 20 publications

References 9 publications

Textbook of Plastic and Reconstructive Surgery

Textbook of Plastic and Reconstructive Surgery

Modification of the Ingram bicycle seat stool for the treatment of vaginal agenesis and stenosis

Treatment of vaginal agenesis using a modified McIndoe technique: Long-term follow-up of 23 patients and a literature review

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