Gonorrhoea of the sigmoid neovagina in a male-to-female transgender. (July 2015)

• Record Type: Journal Article
• Authors: van der Sluis, Wouter B; Bouman, Mark-Bram; Gijs, Luk; van Bodegraven, Adriaan A
• Is Part Of: International journal of STD & AIDS. Volume 26:Number 8(2015:Aug.)
• Page Start: 595
• Page End: 598
• Publication Date: 2015-07
• Subjects: Gonorrhoea (Neisseria gonorrhoeae) -- surgery -- diagnosis -- high-risk behaviour -- sexual behaviour -- SRS -- intestinal neovagina -- MtF transsexuality -- transgender -- gender surgery; Sexually transmitted diseases -- Periodicals; AIDS (Disease) -- Periodicals; 616.951
• DOI: 10.1177/0956462414544725
• Languages: English
• ISSNs: 0956-4624

Abstract

A 33-year-old male-to-female transgender consulted our outpatient clinic with perneovaginal bleeding during and following coitus. Four years before, she underwent a total laparoscopic sigmoid neovaginoplasty. Physical, histological and endoscopic examination revealed neither focus of active bleeding nor signs of active inflammation. A polymerase chain reaction test performed on a neovaginal swab showed gonococcal infection. Treatment consisted of 500 mg intramuscular ceftriaxone. Three weeks later, our patient reported resolution of symptoms, consistent with eradication of the infection demonstrated by a follow-up neovaginal swab polymerase chain reaction. To our knowledge, this is the first case report of gonococcal infection of the sigmoid neovagina.