Augmentation of Neovaginal Depth using Robotic Peritoneal Flap in Penile Inversion Vaginoplasty

What is it about?

This study presents a modified technique for performing scrotovaginoplasty in transgender patients, which involves the use of a peritoneal flap augmentation in combination with a robotic approach to increase neovaginal depth. The procedure involves standard penile inversion vaginoplasty, followed by the harvesting of a single peritoneal flap from the posterior bladder surface, which is then pedicled on the neovaginal dome and sutured all-round to the neovagina. The average operating time was 6 hours, with no intra- or postoperative complications reported. The technique is considered easier and faster to perform, increasing surgical time by an average of 1.5 hours compared to simple perineal scrotovaginoplasty. The technique is mainly applicable for patients with previous failed simple scrotovaginoplasty.

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Why is it important?

This research is important because it proposes a new surgical technique to increase the depth of the neovaginal cavity in transgender patients undergoing scrotovaginoplasty. The technique involves using a single peritoneal flap with a wide implant base, which can help improve the integrity of the neovagina and reduce the risk of complications. Key Takeaways: 1. The proposed surgical technique uses a single peritoneal flap with a wide implant base to increase the depth of the neovaginal cavity in transgender patients. 2. The technique involves a two-step procedure: standard penile inversion vaginoplasty followed by a laparoscopic/robotic approach to harvest a single peritoneal flap, which is then sutured to the neovagina. 3. The use of this technique can help improve the integrity of the neovagina and reduce the risk of complications, such as stenosis and shortening of the neovagina, which are potential issues with the standard technique.