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    Transgender surgery: Videos demonstrate cutting-edge techniques


    Robot-assisted penile inversion vaginoplasty



    Vaginoplasty using penile and scrotal skin is performed for male-to-female transgender patients who desire genital reconstruction. However, short vaginal length, vaginal stenosis, or complications in the perineal dissection are limitations of current open techniques in vaginoplasty. We demonstrate our technique for the robot-assisted penile inversion vaginoplasty, for which the deep pelvic dissection is performed with robotic assistance, allowing for increased vaginal depth.

    Dr. Hotaling: This video demonstrates how reconstructive surgeons trained in the robotic era are applying the tools and techniques of abdominal robotic surgery to gender confirmation surgery. Vaginal stenosis can be a devastating problem for patients undergoing male-to-female gender confirmation surgery. The approach described here, wherein Dr. Zhao performs a perineal dissection first and then uses the robot to ensure that the neovagina is appropriately developed, is a nice application of robotic surgery to reconstructive urology.

    Lee Zhao, MDLee Zhao, MD

    Dr. Zhao is assistant professor of urology at New York University Langone Medical Center, New York



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