Three cases utilizing the Hidden Incision Endoscopic Surgery approach to port placement during penile inversion vaginoplasty utilizing a peritoneal flap

Bajakian, Thalia; Hannallah, Arthi; Cowan, Andrew; Baker, Zoë; Sparks, Stephen; Lee, Jessica; Kokorowski, Paul

doi:10.1016/j.jpurol.2022.08.011

Cited by 1 publication

(1 citation statement)

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“…Among gender affirming surgeries, the use of the robotic surgical system has been most extensively applied to gender affirming vaginal reconstruction. 4,9,[11][12][13][14][15] Non-robotassisted penile inversion vaginoplasty techniques involve dissecting a neovaginal canal between the prostate and the rectum from an external perineal incision and lining that canal with a combination of penile skin flaps, scrotal or abdominal skin grafts, and/or acellular dermal matrix. 16 This technique presents several challenges, including (1) limited visibility of the deepest part of the canal dissection and (2) limited genital tissue for canal lining in cases of penoscrotal hypoplasia.…”

Section: Penile Inversion Vaginoplastymentioning

confidence: 99%

Robotics in Gender Affirming Surgery: Current Applications and Future Directions

2023

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Genital surgery for the treatment of gender dysphoria has undergone significant evolution since its inception in the first half of the 20th century. Robotic approaches to the pelvis allow for improved visualization and reduced abdominal wall morbidity, making the robotic surgical system a very useful tool in the gender affirming genital surgeon's armamentarium. In penile inversion vaginoplasty, robotically harvested peritoneal flaps can be used to augment the vaginal canal, thereby leading to improved vaginal depth, as well as improve operative efficiency by facilitating a two-surgeon approach. In transgender men, the robotic approach to vaginectomy assists with visualization to confirm complete obliteration of the vaginal canal. Robotic surgery will play a central role in the continued evolution of the field of gender affirming surgery.

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