Gonococcal infection of the neovagina in a male-to-female transsexual.
Abstract
BACKGROUND AND OBJECTIVES: To describe a case of asymptomatic gonococcal infection of the surgically constructed vagina of a male-to-female transsexual prostitute. STUDY DESIGN: Case report. CONCLUSION: Although the stratified squamous epithelium that lines the neovagina is normally resistant to infection with Neisseria gonorrhoeae, this diagnosis should be considered in this population, particularly if working in the commercial sex industry.
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Neovaginal STIs have infrequently been reported and include HSV and HPV/genital warts in penile-inversion vaginoplasty, C. trachomatis in procedures that involved penile skin and grafts with urethra mucosa or abdominal peritoneal lining, and N. gonorrhoeae in both penile-inversion and colovaginoplasty.
“Neovaginal STIs have infrequently been reported in the literature and include HSV and HPV/genital warts in penile-inversion vaginoplasty, C. trachomatis in procedures that involved penile skin and grafts with urethra mucosa or abdominal peritoneal lining (353), and N. gonorrhoeae in both penile-inversion and colovaginoplasty (354–359).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [358]
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- Authors
- BODSWORTH, N. J., PRICE, R., & DAVIES, S. C.
- Affiliations
- Sydney Hospital (AU)
- Venue
- Sexually Transmitted Diseases
- Published
- 1994-07
- Volume
- 21
- Issue
- 4
- Pages
- 211
- ISSN
- 0148-5717 (ISSN-L)
- OpenAlex
- W2016901208
- Cited by
- 38
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Social Sciences › Sociology and Political Science › Sex work and related issues
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- gonorrhea, Neisseria gonorrhoeae, neovagina, male-to-female transsexuals, transgender women, sex work, asymptomatic infection, stratified squamous epithelium, vaginal infection
- MeSH terms
- Adult, Amoxicillin, Female, Gonorrhea, Humans, Male, Postoperative Complications, Sex Work, Sexual Partners, Transsexualism, Vaginal Diseases, Vaginal Smears
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