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]
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. firstname.lastname@example.org