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.
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