{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T20:33:56Z","timestamp":1694118836724},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T00:00:00Z","timestamp":1576713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Vaginal creation is the standard treatment for Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser (MRKH) syndrome. Although non\u2010surgical method is recommended as a first\u2010line treatment in the American College of Obstetricians and Gynecologists guidelines for gynecological practice, it is not commonly performed in Japan. At our hospital, vaginal dilation using uterine cervical dilators (Hegar's dilator) is performed for patients with MRKH syndrome. We report four cases successfully treated with vaginal dilation. After the examination, patients were instructed to practice daily self\u2010dilation at home. The initiation size was No. 13 with 10.5\u2010mm diameter. After the vaginal cavity was dilated to a depth of 6\u2009cm, the size of dilators was gradually increased until No. 30 with 25\u2010mm diameter in a tip and 28\u2010mm diameter in a trunk. The duration required to achieve the outcome was 5\u201322\u2009months. All cases were successfully treated without any severe complication.<\/jats:p>","DOI":"10.1111\/jog.14180","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T11:37:16Z","timestamp":1576755436000},"page":"542-546","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Four cases of Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome treated via non\u2010surgical vaginal reconstruction using uterine cervical dilators"],"prefix":"10.1111","volume":"46","author":[{"given":"Akiko","family":"Kawasaki","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Tsukuba  Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroya","family":"Itagagi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Tsukuba  Tsukuba 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