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

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 Mclndoe 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. (c) 2008 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.