Colpectomy after vaginoplasty in transsexuals.
BACKGROUND
Penile amputation, vaginoplasty, and clitoroplasty help male-to-female transsexuals accept their bodies and increase psychosocial function. Subsequent colpectomy is unusual.


METHODS
We report three patients in whom complicated, long-term problems subsequent to vaginoplasty led to total colpectomy in one case of neovaginal overgrowth of condylomata acuminata, and in two cases of colitis in rectosigmoid transplants used for neovaginoplasties.


CONCLUSIONS
Before inversion of penile skin, in cases in which the genital skin has condylomata, the risk of condylomata overgrowth might be anticipated. Rectosigmoid vaginoplasty might result in therapy-resistent colitis, which also could lead to colpectomy.
van Engeland
A A
AA
Department of Plastic and Reconstructive Surgery, Academisch Ziekenhuis Vrije Universiteit, Amsterdam, The Netherlands.
Hage
J J
JJ
van Diest
P J
PJ
Karim
R B
RB
D000328:Adult; D003092:Colitis / Q000209:etiology; D003218:Condylomata Acuminata / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery; D011183:Postoperative Complications; D016038:Skin Transplantation; D014189:Transsexualism / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000601:surgery*