Abstract
Genitourinary reconstruction for transgender/gender non-binary (TGNB) individuals often involves perineal dissection with challenging surgical exposure. Robotic transabdominal approaches to vaginoplasty or vaginectomy allow for enhanced visualization, improved access to deep pelvic structures, and potential for new reconstructive techniques. We describe novel techniques and preliminary outcomes of robotic-assisted genital gender affirming surgery (GAS). These procedures include primary and revision peritoneal flap vaginoplasty, enteric vaginoplasty, and vaginectomy with vaginal mucosal flap and graft harvest for urethral lengthening. Further optimization of emerging techniques, assessment of long-term results, and the development of standardized outcome measures are critical future directions for robotic GAS.
Original language | English (US) |
---|---|
Title of host publication | Urological Care for the Transgender Patient |
Subtitle of host publication | A Comprehensive Guide |
Publisher | Springer International Publishing |
Pages | 237-248 |
Number of pages | 12 |
ISBN (Electronic) | 9783030185336 |
ISBN (Print) | 9783030185329 |
DOIs | |
State | Published - Jan 1 2021 |
Externally published | Yes |
Keywords
- Reconstructive surgery
- Robotic surgery
- Transgender
- Urology
- Vaginectomy
- Vaginoplasty
ASJC Scopus subject areas
- General Medicine