Background and Objectives: To describe a case of asymptomatic gonococc
al infection of the surgically constructed vagina of a male-to-female
transsexual prostitute. Study Design: Case report. Conclusion: Althoug
h the stratified squamous epithelium that lines the neovagina is norma
lly resistant to infection with Neisseria gonorrhoeae, this diagnosis
should be considered in this population, particularly if working in th
e commercial sex industry.