Colpectomy After Vaginoplasty in Transsexuals

In Brief Background Penile amputation, vaginoplasty, and clitoroplasty help male-to-female transsexuals accept their bodies and increase psychosocial function. Subsequent colpectomy is unusual. Cases We report three patients in whom complicated, long-term problems subsequent to vaginoplasty led to total colpectomy in one case of neovaginal overgrowth of condylomata acuminata, and in two cases of colitis in rectosigmoid transplants used for neovaginoplasties. Conclusion Before inversion of penile skin, in cases in which the genital skin has condylomata, the risk of condylomata overgrowth might be anticipated. Rectosigmoid vaginoplasty might result in therapy-resistent colitis, which also could lead to colpectomy. Colpectomy after vaginoplasty in male transsexuals is rare but might be indicated in condylomata acuminata overgrowth or diversion colitis in the rectosigmoid transplant used for neovagina.