Acute peritonitis due to introital
stenosis and perforation of a bowel neovagina in a transsexual.
Liguori G, Trombetta C, Buttazzi
L, Belgrano E.
Obstet Gynecol. 2001 May;97(5 Pt 2):828-9.
Abstract [Full Text] [PDF]
Abstract
BACKGROUND: Stenosis of the neovagina is a
late postoperative complication of male-to-female sex reassignment surgery
when patients do not have frequent sexual intercourse or do not perform
vaginal dilation. CASE: A 39-year-old male-to-female transsexual who had sex
reassignment surgery, in which a segment of sigmoid colon was used for
neovagina construction, developed total introital stenosis and subsequent
peritonitis caused by bowel perforation of the colon conduit. CONCLUSION: To
avoid stenosis of the neovagina, an inflatable silicon vaginal stent should be
used all day for 30 days, then for 3 months overnight or until sexual function
is regular.
Citation: Department
of Urology, University of Trieste, via Franca 5, 34123 Trieste, Italy.
liguorig@usa.net
