“…20 Understanding the mechanisms of factors related to the host and microorganisms is essential to treat infections, reduce the risk of acquiring other infectious diseases, and prevent possible obstetric complications. 9 Oncotic cytology samples collected from neovaginas in this study revealed varied squamous cells in all patients, including superficial, intermediate, and parabasal squamous cells, similar to that of natural vaginas. Weyers et al (2010) 25 performed cytopathological examination of penile skin flap neovaginoplasty in 50 patients and found well-preserved squamous cells in 72%, lactobacilli in 4%, and inflammatory cells in 22% of the patients.…”