Asymptomatic gonococcal urethritis in a male transsexual female.

In a previous paper (Fiumara and Di Mattia, 1973) a male transsexual patient was described with symptomatic gonococcal urethritis. Since then, after an interval offour years, a second patient has been found, who is asymptomatically infected. The incidence of surgical sex reassignment of the male transsexual in the United States is not available, but the operation is being performed at many university hospitals and it is expected that physicians will occasionally see such patients. In an attempt to understand more of the pathogenesis of gonorrhoea in these patients, the following case reports may be of interest.