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Case Reports
. 2021 Jun 20;13(6):e15784.
doi: 10.7759/cureus.15784.

The Repairing of the Recto-Neovaginal Fistula in a Male-to-Female Transgender Through Perineal Graciloplasty

Nail Omarov  1 , Sedat Tatar  2
Affiliations
Case Reports

The Repairing of the Recto-Neovaginal Fistula in a Male-to-Female Transgender Through Perineal Graciloplasty

Nail Omarov et al. Cureus. .

Abstract

Rectovaginal fistulas, which are abnormal epithelial-lined connections between the rectum and vagina, are challenging to treat. Treatment of recto-neovaginal fistulas is more complicated due to the altered perineal anatomy in individuals undergoing gender reassignment surgery. We present a recto-neovaginal fistula that occurred after reassignment surgery male-to-female transgender case of a was successfully treated with restorative perineal graciloplasty.

Keywords: perineal graciloplasty; plastic surgergy; rar (recto anal repair); recto-neovaginal fistula; transgender surgery.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. The lithotomy position and seems of the recto-neovaginal fistula.
Figure 2
Figure 2. The dissection and primarily repairing of the recto- neovaginal fistula
Figure 3
Figure 3. The cutting of the distal tendon of the gracilis muscle and the mobilizing with preserving the proximal neurovascular pedicle
Figure 4
Figure 4. The interposition of the gracilis muscle through the subcutaneous tunnel to the between neovagina and rectum
Figure 5
Figure 5. The appearance of the incisions and aspiration drainage on the surgical site
See this image and copyright information in PMC

References

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