Rectoneovaginal Fistula in a Transgender Woman Successfully Repaired Using a Buccal Mucosa Graft

Area of Science:

• Surgical reconstruction
• Gender affirmation surgery
• Gastrointestinal surgery

Background:

• Rectoneovaginal fistulae (RnVFs) are uncommon but morbid complications.
• Risk factors include surgical injury, malignancy, trauma, radiation, and revision surgery.

Observation:

• A 64-year-old transgender woman presented with recurrent RNVFs after initial vaginoplasty.
• The initial repair attempt was unsuccessful.

Findings:

• The recurrent RNVF was successfully repaired using a buccal mucosa graft.
• Buccal mucosa grafting is a viable option for complex RNVF repair.

Implications:

• This case highlights the potential of buccal mucosa grafts in managing complex RNVFs.
• Multidisciplinary approaches may be necessary for optimal patient outcomes.