{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T02:26:20Z","timestamp":1784946380299,"version":"3.55.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":520,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T00:00:00Z","timestamp":1627862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T00:00:00Z","timestamp":1625443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Genital gender affirming surgery (gGAS) is usually the final stage in the medical transition for transgender men and consists of creating a neophallus and neo-scrotum, with or without urethral lengthening(UL). To reduce the complication risks of UL, a mandatory colpectomy is performed prior to UL. Colpectomy is considered a complex surgery, which may lead to various perioperative complications. There are few long-term complications reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To describe the clinical presentation and management of 3 consecutive transgender men presenting with a perineal cyst following gGAS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>After obtaining informed consent all clinical data was collected, including medical history, current symptoms, imaging, as well as surgery and histological outcomes. Furthermore, a literature search was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measure<\/jats:title>\n                  <jats:p>To hypothesize the aetiology of the perineal cyst based on current published literature.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Three otherwise healthy transgender men, ages 26\u201346 with a similar medical history, presented with a perineal cyst several months or years following colpectomy and gGAS with UL. All patients underwent surgery to remove the cyst. Several theories regarding aetiology of this perineal cyst are discussed in this report.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>There remain several gaps in our knowledge regarding the aetiology and management of this perineal cyst. Therefore, further research is necessary.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2021.100415","type":"journal-article","created":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T15:10:28Z","timestamp":1627830628000},"page":"1-1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Perineal Cyst in Transgender Men: A Rare Complication Following Gender Affirming Surgery \u2013 A Case Series and Literature Overview"],"prefix":"10.1093","volume":"9","author":[{"given":"Joyce D.","family":"Asseler","sequence":"first","affiliation":[{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , AMS , The Netherlands"},{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Department of Obstetrics and Gynaecology \u00a0 , AMS , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brechje L.","family":"Ronkes","sequence":"additional","affiliation":[{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , AMS , The Netherlands"},{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Department of Urology \u00a0 , AMS , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freek A.","family":"Groenman","sequence":"additional","affiliation":[{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , AMS , The Netherlands"},{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Department of Obstetrics and Gynaecology \u00a0 , AMS , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"de Leeuw","sequence":"additional","affiliation":[{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , AMS , The Netherlands"},{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Department of Obstetrics and Gynaecology \u00a0 , AMS , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary L.S.","family":"Pigot","sequence":"additional","affiliation":[{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , AMS , The Netherlands"},{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Department of Urology \u00a0 , AMS , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norah M.","family":"van Mello","sequence":"additional","affiliation":[{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , AMS , The Netherlands"},{"name":"Amsterdam UMC \u00a0 , AMS , The Netherlands"},{"name":"Department of Obstetrics and Gynaecology \u00a0 , AMS , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,8,2]]},"reference":[{"key":"2023012008505564000_bib0001","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s10508-015-0614-1","article-title":"Body satisfaction and physical appearance in gender dysphoria","volume":"45","author":"van de Grift","year":"2016","journal-title":"Arch of Sex Behav"},{"key":"2023012008505564000_bib0002","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1097\/00000637-199304000-00006","article-title":"Phalloplasty in female-to-male transsexuals: What do our patients ask for?","volume":"30","author":"Hage","year":"1993","journal-title":"Ann Plast Surg"},{"key":"2023012008505564000_bib0003","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1016\/j.juro.2018.07.037","article-title":"Colpectomy significantly reduces the risk of urethral fistula formation after urethral lengthening in transgender men undergoing genital gender affirming surgery","volume":"200","author":"Al-Tamimi","year":"2018","journal-title":"J Urol"},{"key":"2023012008505564000_bib0004","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jsxm.2019.03.263","article-title":"Vaginal colpectomy in transgender men: A retrospective cohort study on surgical procedure and outcomes","volume":"16","author":"Nikkels","year":"2019","journal-title":"The J Sex Med"},{"key":"2023012008505564000_bib0005","doi-asserted-by":"crossref","first-page":"3363","DOI":"10.1007\/s00464-016-5333-8","article-title":"Robot-assisted laparoscopic colpectomy in female-to-male transgender patients; 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