Sigmoid Neovagina: A Case Presentation and Pathological Review of Intestinal Transfer

Abstract

Intestinal vaginoplasty, first described in 1904, has more recently become a popular mechanism for gender-affirming surgery in the United States. We present the case of a transgender female patient with retained foreign bodies in her neovagina, which required endoscopic therapy, provide a brief review of the literature, and discuss the potential long-term complications that can arise from a neovagina after intestinal transfer. It is important that gastroenterologists have awareness and recognition of these issues, as surgical reconstruction using intestinal segments for transgender patients becomes more common.

Outcomes of Vaginoplasty Using Pudendal Thigh Flap in a Tertiary Care Hospital

“…This fasciocutaneous flap is an axial patterned sensate flap. 11,12 Many studies demonstrated that this technique overcame some disadvantages of other traditional techniques for vaginal reconstruction, [13][14][15] which is also attested in our patients. It is a fairly straightforward procedure and is completed in 2.5-3 hours with modest blood loss.…”

A Case of a Transwoman with Colorectal Cancer after Flap Vaginoplasty

“…Regarding the occurrence of malignant tumors after vaginoplasty, there are some reports of skin changes in the ne-ovagina and squamous cell carcinoma (including HPVpositive cases) in the neovagina [9][10][11][12] . In some cases, surgical treatment was successful; in others, the cancer was detected too late and the patient died despite chemotherapy and radiation therapy.…”