Gonorrhoea of the sigmoid neovagina in a male-to-female transgender
van der Sluis, A. B. Bouman, M. Gijs, Luk × van Bodegraven, A. A. #
Royal Society of Medicine Services Ltd.
International Journal of STD & AIDS vol:26 issue:8 pages:595-598
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 sigmoïd neovaginaplasty. 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 eredication of Gonocuccus Neisseria demonstrated by a follow-up neovaginal swab polymerase chain reaction. To our knowledge, this is the first case report of gonococcal infection of the sigmoïd neovagina.