title: A case of successful management of recurrent bacterial vaginosis of neovagina after male to female gender reassignment surgery.
abstract: As sex reassignment surgeries become common and advanced, doctors are more likely to encounter cases with 'different' anatomy. Due to variations in examination and management as compared with non-transsexual patients, these cases generally prove challenging to the physicians. We present a case of recurrent bacterial vaginosis (BV) of neovagina in a transsexual patient successfully managed by using metronidazole gel and occasional douching. This case illustrates the difference in the microscopy of vaginal flora and management of BV in transsexual as compared with non-transsexual women.
authors.affiliation: Department of Genito-Urinary Medicine, Lambeth Wing, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK. dranujain@hotmail.co.uk
authors.forename: A
authors.initials: A
authors.lastname: Jain
authors.forename: C
authors.initials: C
authors.lastname: Bradbeer
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use*; D012008:Recurrence; D007507:Therapeutic Irrigation; D014189:Transsexualism; D016896:Treatment Outcome; D016585:Vaginosis, Bacterial / Q000188:drug therapy* / Q000628:therapy*
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole