Rectoneovaginal fistula after sex reassignment surgery. Description of our experience and literature review

Guevara-Martínez, Jenny; Barragán, Cuauhtémoc Aguilar; Bonastre, Jorge; Zarbakhsh, S.; Cantero, Ramón

doi:10.1016/j.acuroe.2021.02.003

Cited by 1 publication

(11 citation statements)

References 19 publications

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“…Additionally, cases may present to colorectal surgeons for primary management following previous failed attempts at repair. [61][62][63]…”

Section: Diagnosis Of Recto-neovaginal Fistulamentioning

confidence: 99%

“…The majority (52.2%) of reported cases of RNVF ultimately require fecal diversion. [52][53][54]56,[58][59][60][61][62][63][67][68][69][70][71] In several reported cases, fecal diversion alone was sufficient to resolve the RNVF. 62,68 In two of these cases, the fistula presented shortly following the initial vaginoplasty and diversion was performed immediately.…”

Section: Fecal Diversionmentioning

confidence: 99%

“…[52][53][54]56,[58][59][60][61][62][63][67][68][69][70][71] In several reported cases, fecal diversion alone was sufficient to resolve the RNVF. 62,68 In two of these cases, the fistula presented shortly following the initial vaginoplasty and diversion was performed immediately. 62,68 In one case, the RNVF was resolved on follow-up at 4 months.…”

Section: Fecal Diversionmentioning

confidence: 99%

“…62,68 In two of these cases, the fistula presented shortly following the initial vaginoplasty and diversion was performed immediately. 62,68 In one case, the RNVF was resolved on follow-up at 4 months. 62 In the other, it spontaneously resolved while awaiting definitive management.…”

Section: Fecal Diversionmentioning

confidence: 99%

“…63,71 Even when diversion does not fully resolve the fistula, it may decrease active inflammation and aid in future repair. 62 As in cisgender women with refractory fistulas, 65 fecal diversion is frequently performed for refractory RNVFs. In certain cases of small uncomplicated fistulas in the immediate postoperative period, diversion may not be required.…”

Section: Fecal Diversionmentioning

confidence: 99%

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Considerations for the Treatment of Sexual and Gender Minority Individuals in Colon and Rectal Surgery

Roblee,

Jacobson,

Lane

et al. 2024

Clin Colon Rectal Surg

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Sexual and gender minorities (SGMs) experience critical barriers to health care access and have unique health care needs that are often overlooked. Given the rise in individuals identifying as lesbian, gay, bisexual, transgender, and queer, colorectal surgeons are likely to care for increasing numbers of such individuals. Here, we discuss key barriers to health care access and research among SGM populations and outline approaches to address these barriers in clinical practice. We also highlight two specific topics relevant to SGM populations that colorectal surgeons should be familiar with: current approaches to anal cancer screening among men who have sex with men, and transgender individuals, as well as the management of recto-neovaginal fistula in transfeminine individuals.

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“…Additionally, cases may present to colorectal surgeons for primary management following previous failed attempts at repair. [61][62][63]…”

Section: Diagnosis Of Recto-neovaginal Fistulamentioning

confidence: 99%