Robotics in Gender Affirming Surgery: Current Applications and Future Directions

Area of Science:

• Surgical innovation in gender affirmation.
• Minimally invasive pelvic surgery.

Background:

• Genital surgery for gender dysphoria has evolved significantly.
• Robotic surgery offers improved pelvic visualization and reduced morbidity.

Purpose of the Study:

• To highlight the role of robotic surgery in gender affirming genital procedures.
• To discuss the benefits of robotic assistance in vaginoplasty and vaginectomy.

Main Methods:

• Robotically harvested peritoneal flaps for vaginoplasty.
• Robotic-assisted vaginectomy for transgender men.

Main Results:

• Robotic vaginoplasty can augment vaginal depth using peritoneal flaps.
• Robotic vaginectomy aids in confirming complete vaginal canal obliteration.
• Robotic surgery facilitates a two-surgeon approach, improving operative efficiency.

Conclusions:

• Robotic surgical systems are valuable tools in gender affirming genital surgery.
• Robotic approaches enhance outcomes and efficiency in vaginoplasty and vaginectomy.
• Robotic surgery is integral to the future evolution of gender affirming procedures.