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The role of the surgical robot in gender-affirming surgery: a scoping review
Karen M Doersch1,2, Lily Kong3, Christodoulos Kaoutzanis4
1Division of Urology, Department of Surgery, University of Colorado Anschutz Medical Center, 13001 E 17th Pl, Aurora, CO 80045, USA.
Background:
Gender-affirming surgery is a growing field to address gender dysphoria, which is an increasingly recognized condition. The surgical robot is an excellent tool for performing some gender-affirming procedures and has been utilized extensively in both feminizing and masculinizing surgery.
Objectives:
To provide an overview for the use of the surgical robot in gender-affirming surgeries.
Design:
This is a scoping review.
Methods:
A literature search was conducted by the authors via PubMed and Google Scholar.
Results:
The ability of the robot to operate within the pelvis makes it an excellent platform for performing colpectomy with colpocleisis, hysterectomy, and vaginoplasty. A variety of grafts and flaps are amenable to robotic employment in the setting of gender-affirming surgeries. Finally, many revisions can be performed via the robotic approach, regardless of the approach of a patient's primary surgery.
Conclusion:
The surgical robot is a useful tool for performing gender-affirming surgeries, including primary surgeries and revisions. Future research will continue to define roles for the robot in the setting of gender-affirming surgery, improve outcomes, and develop novel techniques.
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