van der Sluis Wouter B, Verweij Stephan P, Özer Mujde, Meijerink Wilhelmus J, Bouman Mark-Bram
Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands
Laboratory of Immunogenetics, Department of Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, the Netherlands.
Int J STD AIDS. 2016 Jul;27(8):684-6. doi: 10.1177/0956462415590726. Epub 2015 Jun 2.
A 46-year-old, HIV-positive transgender woman of South American ethnicity consulted our outpatient clinic to discuss the possibilities of a surgical, secondary neovaginal reconstruction because of complete stenosis of her inverted penile skin-lined neovagina. She was taking abacavir/lamivudine and nevirapine as antiretroviral therapy. We successfully performed a total laparoscopic sigmoid vaginoplasty without any complications. There was no short-term morbidity and no complications were reported after 15 months of follow-up. To our knowledge, this is the first report of laparoscopic sigmoid vaginoplasty as vaginal reconstruction in a HIV-positive transgender woman. Worldwide, transgender women have a high burden of HIV infection. This report shows that intestinal vaginoplasty is a feasible surgical option for HIV-positive transgender women in need of vaginal reconstruction. Because patients are again able to engage in penetrative sexual intercourse, we emphasise the importance of practicing safe sex and early initiation of adequate antiretroviral therapy in this patient population.
一名46岁、感染艾滋病毒的南美裔变性女性到我们的门诊咨询，因其倒置阴茎皮肤内衬的新阴道完全狭窄，探讨进行手术二期新阴道重建的可能性。她正在服用阿巴卡韦/拉米夫定和奈韦拉平作为抗逆转录病毒疗法。我们成功实施了全腹腔镜乙状结肠阴道成形术，无任何并发症。术后无短期发病情况，随访15个月后未报告并发症。据我们所知，这是关于腹腔镜乙状结肠阴道成形术用于艾滋病毒阳性变性女性阴道重建的首例报告。在全球范围内，变性女性感染艾滋病毒的负担很重。本报告表明，肠道阴道成形术对于需要阴道重建的艾滋病毒阳性变性女性是一种可行的手术选择。由于患者能够再次进行插入式性交，我们强调在这一患者群体中进行安全性行为和尽早开始充分抗逆转录病毒治疗的重要性。
