Tutak Fatma Nilay, Balik Ozan, Bulbuloglu Semra
Aesthet Surg J Open Forum. 2025 May 24;7:ojaf036. doi: 10.1093/asjof/ojaf036. eCollection 2025.
Gender incongruence is defined as a conflict between a person's gender and the gender they were assigned at birth. With gender-affirming surgery, being a trans woman is possible. In this study, we aimed to investigate rectoneovaginal fistula repair and describe the creation of a new neovagina for gender-affirming surgery in trans women. The design of this study was observational, and the data were obtained retrospectively from electronic databases. The effectiveness of the treatments that were applied was evaluated by observation. Although 2 of the 3 patients in this study had undergone neovagina construction by the penile inversion method, 1 had undergone neovagina construction by skin graft vaginoplasty. All 3 patients were suffering from rectoneovaginal fistulae, and they were on the seventh and eighth postoperative days. Lavage, rectoneovaginal fistula dressing, and vaginal tamponade were applied to the patients for 6 weeks. At the end of the 6-week period, granulation tissue and epithelialization were observed in the entire tissue up to the outer boundary of the neovagina. At the end of 1 year, a new neovaginal pouch was opened 1 cm above the fistula site. In the conservative repair of rectoneovaginal fistulae, daily dressing replacement and careful patient monitoring are highly important. For patients who have developed rectoneovaginal fistulae, we recommend the opening of a new neovaginal pouch 1 cm above the healed fistula site. : 5 (Therapeutic).
性别不一致被定义为一个人的性别与其出生时被指定的性别之间的冲突。通过性别肯定手术，成为一名跨性别女性成为可能。在本研究中，我们旨在调查直肠阴道瘘修复情况，并描述为跨性别女性进行性别肯定手术时新阴道的创建。本研究的设计为观察性研究，数据从电子数据库中回顾性获取。通过观察评估所应用治疗的有效性。本研究中的3例患者中，2例通过阴茎翻转法进行了新阴道构建，1例通过皮瓣阴道成形术进行了新阴道构建。所有3例患者均患有直肠阴道瘘，且处于术后第7天和第8天。对患者进行了6周的灌洗、直肠阴道瘘换药及阴道填塞。在6周结束时，在直至新阴道外边界的整个组织中观察到肉芽组织和上皮形成。在1年结束时，在瘘管部位上方1厘米处打开一个新的阴道囊袋。在直肠阴道瘘的保守修复中，每天更换敷料及仔细监测患者非常重要。对于已发生直肠阴道瘘的患者，我们建议在愈合的瘘管部位上方1厘米处打开一个新的阴道囊袋。：5（治疗性）
