A 64-year-old transgender woman with recurrent rectoneovaginal fistula (RnVF) presents for care following penile skin inversion neovaginoplasty at an outside institution. Exam reveals a 2- to 3-cm fistula at the cephalad nevoagnial, roughly 6 cm proximal to the anorectal ring. What are the options for surgical repair?
A psychiatrist with our Transgender Surgery and Medicine Program shares insights on the behavioral health aspects of caring for a population not well served by traditional medical training.
Child and adolescent psychiatrists are increasingly asked to work with transgender youth, but many have no training with this patient population. An expert shares his approach.