Neovaginal perforation following sexual intercourse in a transsexual patient

BMC Research Notes

Omer Erdogan²  Nesat Cullu³  Onder Ozcan¹  Hasan Deliktas² 

[1] Department of Surgery, Mugla Sitki Kocman University, School of Medicine, Mugla, Turkey;Department of Urology, Mugla Sitki Kocman University, School of Medicine, Mugla 48000, Turkey;Department of Radiology, Mugla Sitki Kocman University, School of Medicine, Mugla, Turkey

关键词: Transsexual;    Sexual intercourse;    Neovaginal perforation;   

Others  :  1125641
DOI  :  10.1186/1756-0500-7-797

 received in 2014-07-23, accepted in 2014-10-27,  发布年份 2014

【 摘 要 】

Background

Neovaginal perforation can develop following sexual intercourse in patients that have undergone male to female gender reassignment surgery. In such cases urinary tract symptoms may mimic acute cystitis and acute pyelonephritis.

Case presentation

A 33-year old white transsexual patient presented to the emergency department with dysuria, hematuria, difficulty urinating, widespread groin pain, bilateral side pain, clear vaginal discharge, abdominal pain, and nausea 2-3 h after sexual intercourse. Abdominal tomography showed fluid around the vaginal cuff and air throughout the abdomen. Vaginography showed contrast leaking to the abdomen from the vaginal cuff. The patient was considered as vaginal perforation and admitted to clinic.

Conclusion

Vaginal perforation should be considered in transsexual patients that develop urinary system symptoms following sexual intercourse. Such cases were treated medically without the need surgery.

【 授权许可】

   
2014 Deliktas et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]van Noort DE, Nicolai JP: Comparison of two methods of vagina construction in transsexuals. Plast Reconstr Surg 1993, 91(7):1308-1315.
• [2]Dalton JR: Use of sigmoid colon in sex reassignment operations. Urology 1981, 17(3):223-227.
• [3]Perovic SV, Stanojevic DS, Djordjevic ML: Vaginoplasty in male transsexuals using penile skin and a urethral flap. BJU Int 2000, 86(7):843-850.
• [4]Kwun Kim S, Hoon Park J, Cheol Lee K, Min Park J, Tae Kim J, Chan Kim M: Long-term results in patients after rectosigmoid vaginoplasty. Plast Reconstr Surg 2003, 112(1):143-151.
• [5]Amirian I, Gogenur I, Rosenberg J: Conservatively treated perforation of the neovagina in a male to female transsexual patient. BMJ Case Rep 2011., 2011
• [6]Liguori G, Trombetta C, Buttazzi L, Belgrano E: Acute peritonitis due to introital stenosis and perforation of a bowel neovagina in a transsexual. Obstet Gynecol 2001, 97(5 Pt 2):828-829.
• [7]Franco T, Miranda LC, Franco D, Zaidhaft S, Aran M: Male-to-female transsexual surgery: experience at the UFRJ University Hospital. Revista do Colegio Brasileiro de Cirurgioes 2010, 37(6):426-434.
• [8]Stanojevic DS, Djordjevic ML, Milosevic A, Sansalone S, Slavkovic Z, Ducic S, Vujovic S, Perovic SV: Sacrospinous ligament fixation for neovaginal prolapse prevention in male-to-female surgery. Urology 2007, 70(4):767-771.
• [9]Weyers S, Verstraelen H, Gerris J, Monstrey S, Santiago Gdos S, Saerens B, De Backer E, Claeys G, Vaneechoutte M, Verhelst R: Microflora of the penile skin-lined neovagina of transsexual women. BMC Microbiol 2009, 9:102. BioMed Central Full Text
• [10]Weyers S, Lambein K, Sturtewagen Y, Verstraelen H, Gerris J, Praet M: Cytology of the ‘penile’ neovagina in transsexual women. Cytopathology 2010, 21(2):111-115.