IMAGES IN UROLOGY
Complications of sex reassignment
surgery
Cuesta
Presedo JM, Sánchez Zalabardo D, Ascaso Cornago I.
Fundación Hospital Calahorra. Spain
Actas Urol Esp. 2006;30(9):966
A 30 year old female patient with a
history of sex reassignment surgery performed 5 years before in a different
center complained of difficult urination with a feeling of incomplete voiding
and occasional episodes of gross hematuria.
Examination showed a normally implanted neopenis constructed at the expense of the anterior rectus muscle of the abdomen. An occluded vagina was also
seen, but the external urethral meatus could not be
located. Intact labia majora.
At urography,
a plain X-ray film revealed a big stone inside the bladder with normal renal
function and slight ectasis of both ureters.
A cystolithectomy
was performed.
The clinical signs leading to
consultation completely disappeared after surgery.
FigurE 1. External genitalia after surgery.
FigurE 2. Plain x-rays of the abdomen before surgery.
FigurE 3. Bladder stone.
Dr. J.M. Cuesta Presedo
E-mail: jcuesta@fhcalahorra.com
(Manuscript received on