title: Graciloplasty for recurrent recto-neovaginal fistula in a male-to-female transsexual.
abstract: Rectovaginal fistula is usually a challenging condition for surgeons, but a fistula between the rectum and the neovagina in male-to-female transsexual is even more difficult to treat as it is a rare complication occurring in a patient with modified anatomy of the perineum, with heavy psychological implications for the patient. Here, we report a case of recurrent recto-neovaginal fistula in a male-to-female transsexual successfully treated by perineal graciloplasty.
authors.affiliation: Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy. donatofrancesco.altomare@uniba.it
authors.forename: D F
authors.initials: DF
authors.lastname: Altomare
authors.forename: I
authors.initials: I
authors.lastname: Scalera
authors.forename: C
authors.initials: C
authors.lastname: Bettocchi
authors.forename: M
authors.initials: M
authors.lastname: Di Lena
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation*; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D057830:Gender-Affirming Surgery / Q000009:adverse effects