The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Prevalence of neovaginal high-risk human papillomavirus among transgender women in the Netherlands.
Open accessAbstract
BACKGROUND: Worldwide, transgender women are a high burden population for sexually transmitted diseases. Neovaginal high-risk human papillomavirus (hrHPV) infection has been documented among transgender women, but its prevalence remains unclear. The objective of this study was to determine the prevalence of neovaginal hrHPV in a sample of transgender women in The Netherlands. METHODS: Between June 2015 and December 2015, neovaginal samples were obtained from all transgender women who underwent vaginoplasty and attended our outpatient clinic for postoperative follow-up at least 1 year after surgery. High-risk HPV DNA detection and partial genotyping was performed by the HPV-risk assay. Genotyping of non-16/18-hrHPV-positive samples was subsequently performed by GP5+/6+-PCR followed by Luminex suspension array technology. Physical examination and standardized (sexual) history taking was conducted. RESULTS: Valid neovaginal swabs were obtained from 54 transgender women (median age, 40.7 years [range, 19.2-60.3]; median postoperative time, 2.4 years [range, 1.0-34.2]). No transgender women were employed in the commercial sex industry. Of 28 sexually active transgender women, 6 (20%) tested positive for neovaginal hrHPV including types 16, 45, 51, 59, 66, and X. There were no concomitant neovaginal lesions nor neovaginal symptoms. All sexually inactive transgender women tested negative for neovaginal hrHPV. CONCLUSIONS: A prevalence of neovaginal hrHPV infection of 20% is observed in Dutch transgender women, who self-reported to be sexually active. The clinical consequences neovaginal hrHPV infection in transgender women require further attention.
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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 [355]
The Discussion (page not available) reports neovaginal HPV in women who underwent penile-inversion vaginoplasty and describes the literature on neovaginal HPV as scarce. Participant Demographics records one history of neovaginal gonorrhea but does not identify the procedure for that case. The paper does not substantiate the claim’s HSV, genital-wart, or C. trachomatis examples, or gonorrhea in both named procedures. (LLM, conf=0.87)
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de Sanjosé, S., Diaz, M., Castellsagué, X., Clifford, G., Bruni, L., Muñoz, N., & Bosch, F. X. (2007) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(07)70158-5 · Cited by 1,669
Worldwide burden of HIV in transgender women: a systematic review and meta-analysis.
Baral, S. D., Poteat, T., Strömdahl, S., Wirtz, A. L., Guadamuz, T. E., & Beyrer, C. (2013) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(12)70315-8 · Cited by 1,461
Bead-Based Multiplex Genotyping of Human Papillomaviruses
Schmitt, M., Bravo, I. G., Snijders, P. J. F., Gissmann, L., Pawlita, M., & Waterboer, T. (2006) · Journal of Clinical Microbiology · doi:10.1128/jcm.44.2.504-512.2006 · Cited by 481
Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques
Horbach, S. E. R., Bouman, M., Smit, J. M., Özer, M., Buncamper, M. E., & Mullender, M. G. (2015) · The Journal of Sexual Medicine · doi:10.1111/jsm.12868 · Cited by 351
Self-citationOutcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques
Leclère, F. M., Casoli, V., & Weigert, R. (2015) · The Journal of Sexual Medicine · doi:10.1111/jsm.12915 · Cited by 208
Coupé, V. M. H., Berkhof, J. H., Bulkmans, N. W. J., et al. (2008) · British Journal of Cancer · doi:10.1038/sj.bjc.6604162 · Cited by 103
Hesselink, A. T., Berkhof, J. H., van der Salm, M. L., van Splunter, A. P., Geelen, T. H., van Kemenade, F. J., Bleeker, M. C. G., & Heideman, D. A. M. (2014) · Journal of Clinical Microbiology · doi:10.1128/jcm.03195-13 · Cited by 68
Self-citationHIV and Sexual Risk Behavior among Commercial Sex Workers in the Netherlands
van Veen, M. G., Götz, H. M., van Leeuwen, P., Prins, M., & van de Laar, M. J. W. (2008) · Archives of Sexual Behavior · doi:10.1007/s10508-008-9396-z · Cited by 58
Prevalence of human papillomavirus infection in a clinic sample of transsexuals in Italy: Table 1
Loverro, G., Naro, E. D., Caringella, A. M., et al. (2015) · Sexually Transmitted Infections · doi:10.1136/sextrans-2014-051987 · Cited by 40
Do Histologic Changes in the Skin-Lined Neovagina of Male-to-Female Transsexuals Really Occur?
Dekker, J. J. M. L., Hage, J. J., Karim, R. B., et al. (2007) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000258953.00234.50 · Cited by 19
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Herpes neolabialis: herpes simplex virus type 1 infection of the neolabia in a transgender woman.
Elfering, L., van der Sluis, W. B., Mermans, J. F., & Buncamper, M. E. (2017) · International Journal of STD & AIDS · doi:10.1177/0956462416685658 · Cited by 20
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Metadata
- Authors
- van der Sluis, W. B., Buncamper, M. E., Bouman, M.-B., Elfering, L., Özer, M., Bogaarts, M., Steenbergen, R. D. M., Heideman, D. A. M., & Mullender, M. G.
- Affiliations
- From the *Department of Plastic, Reconstructive and Hand Surgery, †EMGO + Institute for Health and Care Research, ‡Center of Expertise on Gender Dysphoria, and §Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
- Amsterdam Public Health (NL)
- Corresponding author
- Buncamper, Marlon E.
- Bouman, Mark-Bram
- Elfering, Lian
- Özer, Müjde
- Mullender, Margriet G.
- ORCID
- Venue
- Sexually Transmitted Diseases
- Published
- 2016-08
- Volume
- 43
- Issue
- 8
- Pages
- 503-505
- ISSN
- 0148-5717 (ISSN-L)
- 1537-4521
- OpenAlex
- W2473391908
- Cited by
- 37
- References
- 10
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 3 · 2019: 5 · 2017: 4 · 2016: 1
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- other-oa
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Surgery › Genital Health and Disease
- Keywords
- high-risk HPV, transgender women, neovagina, vaginoplasty, HPV prevalence, HPV genotyping, sexually transmitted infections, sexual activity, postoperative follow-up
- MeSH terms
- Adult, Female, Genotype, Humans, Male, Middle Aged, Netherlands, Sex Work, Sexual Partners, Vagina, Prevalence, Papillomavirus Infections, Human papillomavirus 18, Human papillomavirus 16, Young Adult, Transgender Persons
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