Deliktas Hasan, Ozcan Onder, Cullu Nesat, Erdogan Omer
Department of Urology, Mugla Sitki Kocman University, School of Medicine, Mugla 48000, Turkey.
BMC Res Notes. 2014 Nov 15;7:797. doi: 10.1186/1756-0500-7-797.
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.
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.
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.
在接受男变女性别重置手术的患者中，性交后可能会发生新阴道穿孔。在这种情况下，尿路症状可能类似急性膀胱炎和急性肾盂肾炎。
一名33岁的白人变性患者在性交后2至3小时因尿痛、血尿、排尿困难、广泛的腹股沟疼痛、双侧侧腹疼痛、清亮的阴道分泌物、腹痛和恶心而到急诊科就诊。腹部断层扫描显示阴道袖口周围有液体，全腹有气体。阴道造影显示造影剂从阴道袖口漏入腹部。该患者被诊断为阴道穿孔并入住诊所。
对于性交后出现泌尿系统症状的变性患者，应考虑阴道穿孔。此类病例采用药物治疗，无需手术。
