Neovaginal perforation following sexual intercourse in a transsexual patient.
BACKGROUND
Neovaginal perforation can develop following sexual intercourse in patients that have undergone male to female gender reassignment surgery. In such cases urinary tract symptoms may mimic acute cystitis and acute pyelonephritis.


METHODS
A 33-year old white transsexual patient presented to the emergency department with dysuria, hematuria, difficulty urinating, widespread groin pain, bilateral side pain, clear vaginal discharge, abdominal pain, and nausea 2-3 h after sexual intercourse. Abdominal tomography showed fluid around the vaginal cuff and air throughout the abdomen. Vaginography showed contrast leaking to the abdomen from the vaginal cuff. The patient was considered as vaginal perforation and admitted to clinic.


CONCLUSIONS
Vaginal perforation should be considered in transsexual patients that develop urinary system symptoms following sexual intercourse. Such cases were treated medically without the need surgery.
Department of Urology, Mugla Sitki Kocman University, School of Medicine, Mugla 48000, Turkey. hasandeliktas@mynet.com.
Hasan
H
Deliktas
Onder
O
Ozcan
Nesat
N
Cullu
Omer
O
Erdogan
D000328:Adult; D001826:Body Fluids; D003075:Coitus; D005260:Female; D006801:Humans; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014189:Transsexualism / Q000000981:diagnostic imaging / Q000473:pathology*; D014621:Vagina / Q000000981:diagnostic imaging / Q000293:injuries*