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SRM Prime Hospital Performs First-of-Its-Kind Endoscopic Repair Using Bovine Pericardial Patch to Stop Neovaginal Stool Leakage
Chennai, November 25, 2025: In a first for Tamil Nadu, SRM Prime Hospital has successfully closed a recto-neovaginal fistula in a 22-year-old transgender woman using a bovine pericardial patch, avoiding the need for major open-abdominal surgery. The patient, from a poor economic background, had developed the fistula — an abnormal connection between the rectum and the neovagina — after undergoing gender-affirming surgery at another hospital, leading to the passage of flatus and faecal matter through the neovagina. The minimally invasive, day-care endoscopic procedure was performed by Dr. Arulprakash S., Clinical Lead and Senior Consultant, and Dr. Tarun J. George, Senior Consultant, Medical Gastroenterology and Hepatology, under the guidance of Dr. C. Paul Dilip Kumar, Director–Medical Services, SRM Prime Hospital. According to Dr. Arulprakash, such fistulas occur in only about 1% of gender-affirming surgeries and are rarely encountered. A previous attempt elsewhere to close the fistula...