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. 2018 May 1;3(1):105-108.
doi: 10.1089/trgh.2017.0045. eCollection 2018.

Symptomatic Neovaginal Candidiasis in Transgender Women After Penile Inversion Vaginoplasty: A Clinical Case Series of Five Consecutive Patients

Kristin B de Haseth  1 , Marlon E Buncamper  1   2   3   4 , Müjde Özer  1   2   3 , Lian Elfering  1   2   3 , Jan Maerten Smit  1   2   3 , Mark-Bram Bouman  1   2   3   4 , Wouter B van der Sluis  1   2
Affiliations

Symptomatic Neovaginal Candidiasis in Transgender Women After Penile Inversion Vaginoplasty: A Clinical Case Series of Five Consecutive Patients

Kristin B de Haseth et al. Transgend Health. .

Abstract

Background: Vaginoplasty is performed as gender-affirming surgery in transgender women. While multiple surgical techniques exist for this goal, penile inversion vaginoplasty is performed most frequently. Neovaginal symptoms may impede sexual functioning after surgery. Methods: A total of five consecutive patients with symptoms and positive swabs for neovaginal candida infection were described. Results: All patients presented with white-colored neovaginal discharge and some with neovaginal itching and/or malodor. All were topically treated with miconazole, which resulted in symptom clearance. Follow-up swabs were negative for candida. Conclusions: To our knowledge, this is the first report on (symptomatic) candidiasis of the penile-inverted neovagina.

Keywords: Candida; candidiasis; gender dysphoria; transgender; vaginoplasty.

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Conflict of interest statement

No competing financial interests exist.

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