2022
DOI: 10.1097/prs.0000000000010011
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Genital Hypoplasia before Gender-Affirming Vaginoplasty: Does the Robotic Peritoneal Flap Method Create Equivalent Vaginal Canal Outcomes?

Abstract: Background: Insufficient genital tissue has been reported as a barrier to achieving depth in gender-affirming vaginoplasty. The authors sought to characterize vaginal depth and revision outcomes in patients with genital hypoplasia undergoing robotic peritoneal flap vaginoplasty. Methods: Retrospective case-control analysis of patients undergoing robotic peritoneal vaginoplasty between September of 2017 and August of 2020 was used. All 43 patients identified as having genital hypoplasia (genital length <7 cm)… Show more

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Cited by 3 publications
(2 citation statements)
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“…4,9,11,13 At our center, the average vaginal canal depth is 14.5 cm in patients with a median follow-up of 1 year. 17 These data compare favorably to a recent meta-analysis of 39 studies encompassing more than 3,900 patients undergoing traditional penile inversion vaginoplasty, which reported an average vaginal depth of 9.4 cm. 18 In addition, we have found that using the robotic peritoneal flap approach, our vaginal depth outcomes are equivalent between patients with penoscrotal hypoplasia and those with greater genital tissue surface area.…”
Section: Surgical Outcomessupporting
confidence: 67%
See 1 more Smart Citation
“…4,9,11,13 At our center, the average vaginal canal depth is 14.5 cm in patients with a median follow-up of 1 year. 17 These data compare favorably to a recent meta-analysis of 39 studies encompassing more than 3,900 patients undergoing traditional penile inversion vaginoplasty, which reported an average vaginal depth of 9.4 cm. 18 In addition, we have found that using the robotic peritoneal flap approach, our vaginal depth outcomes are equivalent between patients with penoscrotal hypoplasia and those with greater genital tissue surface area.…”
Section: Surgical Outcomessupporting
confidence: 67%
“…18 In addition, we have found that using the robotic peritoneal flap approach, our vaginal depth outcomes are equivalent between patients with penoscrotal hypoplasia and those with greater genital tissue surface area. 17 Historically, patients with marked penoscrotal hypoplasia have been encouraged to pursue intestinal vaginoplasty. 19 20 The robotically assisted peritoneal flap vaginoplasty offers an alternative to colon vaginoplasty for these patients.…”
Section: Penile Inversion Vaginoplastymentioning
confidence: 99%