Abstract
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.
Keywords
gender affirming surgery - robotic surgery - transgender - bottom surgery - vaginoplasty
- penile inversion vaginoplasty - peritoneal flap vaginoplasty - Davydov flap - single
port robot - da Vinci SP - vaginectomy
