Reduction or Absence of Lactobacilli in Neovaginal Flora
Conditions
Brief summary
The aim of this study is the improvement of the penile linked neovaginal flora in male-to-female transsexuals after application of oral probiotics.
Interventions
lyophilised L. rhamnosus, L. jensenii, L. crispatus, L. gasseri and sodium alginate
control group would receive a oral lactose placebo
Sponsors
Study design
Eligibility
Inclusion criteria
Participants underwent the sex reassignment surgery (SRS) with the technique of the inverted penile skin flap longer than 1 year. All transsexual women treated according to the Standards of Care of the World Professional Association of Transgender Health (WPATH).
Exclusion criteria
* clinical signs of vaginal or urinary tract infection, * abnormal neovaginal discharge, * neoplasia, * bleeding, * diarrhoea, * constipation, * rectal pathologies including hemorrhoids, * antibiotic therapy in the previous 4 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Nugent score between baseline and end of treatment (improvement or no improvement). | day 0 day 7 of oral probiotic application | Using Nugent scoring system, from each participant first swab from neovagina and rectum will be taken before start of oral probiotic use.(baseline information) Second swab from neovagina and rectum will be taken on the day following the last administration.(information about change in Nugent) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Isolation of specific Lactobacilli from neovaginal microbiologic cultures after oral administration of probiotic | Day 7 of oral probiotic application | From each participant, the swab from neovagina and rectum for microbiologic cultures will be taken on the day following the last administration. Isolation of oral applied probiotic strains. |
Other
| Measure | Time frame |
|---|---|
| Nugent Score | day 0 day 7 of oral probiotic application |
Countries
Austria