Digestive Disease Research Institute (DDRI), Tehran University of Medical Sciences, Tehran, 14117-13135, Iran.
Int J Colorectal Dis. 2024 Jul 9;39(1):103. doi: 10.1007/s00384-024-04676-x.
Sex reassignment surgery (SRS) is a necessary step in transitioning into the desired gender for male-to-female transgender individuals. This study focuses on a rare complication developed following SRS, aiming to highlight potential complications associated with this procedure.
This report describes a 49-year-old transgender woman with a history of SRS who developed bloody diarrhea and neovaginal bleeding 10 years later. A colonoscopy revealed features compatible with ulcerative colitis, which was confirmed by a biopsy.
The unpredictable clinical course of this phenomenon may prompt surgeons to reconsider the use of a rectosigmoid colon to create a neovagina. This case report underscores the necessity of long-term monitoring for gastrointestinal complications in transgender women post-SRS when a rectosigmoid colon segment is utilized for neovaginal construction.
性别重置手术（SRS）是跨性别男性转变为期望性别的必要步骤。本研究专注于 SRS 后出现的一种罕见并发症，旨在强调与该手术相关的潜在并发症。
本报告描述了一位 49 岁的跨性别女性，曾行 SRS，10 年后出现血性腹泻和新阴道出血。结肠镜检查显示符合溃疡性结肠炎的特征，活检证实了这一诊断。
这种现象不可预测的临床过程可能促使外科医生重新考虑使用直肠乙状结肠来创建新阴道。本病例报告强调了在 SRS 后使用直肠乙状结肠段构建新阴道时，对 transgender 女性进行长期监测以预防胃肠道并发症的必要性。
