Three-dimensional printed mold for neovaginal cavity maintenance in vaginal agenesis: A case report

Abstract

Rationale: Vaginal agenesis is a congenital anomaly that causes physical and psychosocial problems for women. Many surgical procedures for neovaginal reconstruction have been described in the literature. Using an appropriate vaginal mold is crucial for a successful surgical outcome. Here, we present an effective solution for neovaginal cavity maintenance involving the use of a customized three-dimensional (3D) printed vaginal mold created using thermoplastic polyurethane material. Patient concerns: Here, we present a case of non-syndromic agenesis of the lower vagina in an 18-year-old girl and the postsurgical management. Diagnosis: After a thorough evaluation, the patient was diagnosed with Mayer–Rokitansky–Küster–Hauser syndrome or Müllerian agenesis. Interventions: After drainage of the pus during acute infection of a patient with vaginal agenesis, a condom and alginate were used to create a mold. The mold was then used to create a permanent, customized mold with a 3D printer. Outcomes: This report is the first to suggest using a 3D printer to create molds to maintain vaginal dilation after the creation of a neovagina. Lessons: This approach can be applied for patients with vaginal agenesis and stenosis and can be used as a novel method for maintaining the neovaginal structure without affecting the patient’s quality of life.