title: Gonorrhoea of the sigmoid neovagina in a male-to-female transgender.
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.
authors: Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands.
authors: Wouter B
authors: WB
authors: van der Sluis
authors: Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands mark-bram.bouman@vumc.nl.
authors: Mark-Bram
authors: MB
authors: Bouman
authors: Department of Medical Psychology, VU University Medical Center, Amsterdam, the Netherlands.
authors: Luk
authors: L
authors: Gijs
authors: Department of Gastroenterology, VU University Medical Center, Amsterdam, the Netherlands.
authors: Adriaan A
authors: AA
authors: van Bodegraven
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D003075:Coitus; D012809:Colon, Sigmoid / Q000382:microbiology / Q000601:surgery; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009344:Neisseria gonorrhoeae / Q000235:genetics / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction; D063106:Transgender Persons; D014189:Transsexualism / Q000601:surgery*; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000209:etiology; D014621:Vagina; D014623:Vaginal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone
keywords: Gonorrhoea (Neisseria gonorrhoeae); MtF transsexuality; SRS; diagnosis; gender surgery; high-risk behaviour; intestinal neovagina; sexual behaviour; surgery; transgender