LABIAL MASSES FOLLOWING VAGINOPLASTY IN MALE-TRANSSEXUALS - THE DIFFERENTIAL-DIAGNOSIS

Following vaginoplasty and vulvoplasty for male-to-female transsexuali sm, a mass may evolve in one of the major labia in a minority of patie nts. From April of 1989 to April of 1994, we treated seven patients wi th such masses. The case reports presented illustrate some of the diff erential diagnoses of this long-term complication. More often than not , the swelling was caused by infection. The funiculus or even testicul ar rest in itself also may represent the mass. Intralabial urethral fi stula appears to be the second cause of swelling, either with or witho ut inflammation. As an exceptional cause we observed a swelling repres enting a cyst of prostatic origin. In all, the mass could be excised c ompletely.