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International Urogynecology Journal

, Volume 29, Issue 9, pp 1407–1409 | Cite as

Transneovaginal repair of vesiconeovaginal fistula in female transgender

  • Luis Gustavo Morato de ToledoEmail author
  • Raphael de Jesus Moreira
  • Lucas de Almeida Tosi
Images in Urogynecology
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Gender reassignment surgery can solve aesthetical and anatomical issues but may be followed by several complications, such as anterograde micturition, urethral stenosis, urinary infection, acute urinary retention, urinary or enteric fistulas, vaginal stenosis, and dyspareunia. [1]. Van der Sluiset al. reported 25 neovaginal fistulas after 1037 vaginoplasties in transgender women: 13 rectoneovaginal, 11 urethroneovaginal, and one pouch-neovaginal fistula. Intraoperative rectal perforation or meatal stenosis were predisposing factors for fistula formation [2]. To our knowledge, we present the first case and detailed management of a vesiconeovaginal fistula in a transgender woman.

Case report

A genetically male patient, 25 years old, underwent sexual reassignment surgery with penectomy and neovagina (Penile Inversion Vaginoplasty) in February 2017 by a plastic surgeon at a private clinic. After seeking care in multiple institutions, the patient entered our public institution’s...

Keywords

Sexual redesignation Transgender Fistula Neovagina 

Notes

Compliance with ethical standards

Conflict of interest

None.

Consent

Written informed consent was obtained from the patient for publication of these and any accompanying images in urogynecology.

Supplementary material

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References

  1. 1.
    Middleton I, Holden FA. Urological issues following gender reassignment surgery. Br J Nurs. 2017;26(18):S28–33.CrossRefPubMedGoogle Scholar
  2. 2.
    Van der Sluis WB, et al. Clinical characteristics and Management of Neovaginal Fistulas after Vaginoplasty in transgender women. Obstet Gynecol. 2016;127(6):1118–26.CrossRefPubMedGoogle Scholar

Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Urology, Surgery DepartmentSanta Casa de São Paulo School of Medical ScienceSão PauloBrazil
  2. 2.Urogynecology, Gynecology DepartmentHospital Municipal Maternidade Dr. Mário de Moraes Altenfelder SilvaSão PauloBrazil

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