Robotic sigmoid vaginoplasty: a novel technique

Area of Science:

• Minimally Invasive Surgery
• Urology
• Surgical Technology

Background:

• Sigmoid vaginoplasty is a complex procedure often used in gender affirmation surgery.
• Traditional methods can involve extensive incisions and longer recovery times.
• Advancements in robotic surgery offer potential for improved outcomes.

Observation:

• A 17-year-old 46 XY adolescent underwent a robotically assisted laparoscopic sigmoid vaginoplasty with a single perineal incision.
• The procedure utilized the DaVinci S robot with one camera port and three working ports.
• The total operating time was 9 hours and 45 minutes, with discharge on postoperative day 4.

Findings:

• The intra-abdominal portion was performed entirely robotically.
• At 10-month follow-up, the patient demonstrated successful dilation without complications.
• This represents the first reported case of robotically assisted laparoscopic sigmoid vaginoplasty.

Implications:

• Robotically assisted laparoscopic sigmoid vaginoplasty is a viable minimally invasive option.
• This technique may offer improved cosmetic and functional outcomes for patients.
• The growing use of robotic surgery in complex procedures is highlighted.