Therapeutic advances in urology · 2025
The role of the surgical robot in gender-affirming surgery: a scoping review.
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Doersch Karen M, Kong Lily, Kaoutzanis Christodoulos, Higuchi Ty
Аннотация
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.
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.