%0 Case Reports
%T Ulcerative colitis in a transgender woman with a sigmoid neovagina: a case report.
%A Sadeghi A
%A Bahrami Hezaveh E
%A Ali Asgari A
%J Int J Colorectal Dis
%V 39
%N 1
%D 2024 Jul 9
%M 38980368
%F 2.796
%R 10.1007/s00384-024-04676-x
%X <B>BACKGROUND: </B>Sex reassignment surgery (SRS) is a necessary step in transitioning into the desired gender for male-to-female transgender individuals. This study focuses on a rare complication developed following SRS, aiming to highlight potential complications associated with this procedure.<BR><B>METHODS: </B>This report describes a 49-year-old transgender woman with a history of SRS who developed bloody diarrhea and neovaginal bleeding 10 years later. A colonoscopy revealed features compatible with ulcerative colitis, which was confirmed by a biopsy.<BR><B>CONCLUSIONS: </B>The unpredictable clinical course of this phenomenon may prompt surgeons to reconsider the use of a rectosigmoid colon to create a neovagina. This case report underscores the necessity of long-term monitoring for gastrointestinal complications in transgender women post-SRS when a rectosigmoid colon segment is utilized for neovaginal construction.