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Robotic-Assisted Neovaginal Creation: Stepwise Approach to the Davydov Technique in a Patient with Mayer-Rokitansky-Küster-Hauser Syndrome.
Fertil Steril
January 2025
Hacettepe University, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Ankara, Turkey. Electronic address:
Pioneering robotic-assisted Davydov vaginoplasty for Mayer-Rokitansky-Küster-Hauser syndrome.
BMJ Case Rep
January 2025
Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a disorder marked by the congenital absence of the uterus and vagina. Patients with this condition often present with primary amenorrhoea and normal secondary sexual characteristics. The diagnosis of MRKH syndrome has profound implications for a patient's fertility and psychological well-being, necessitating a multidisciplinary approach that includes psychosocial support.
View Article and Find Full Text PDFThe robotic-assisted free jejunal flap for neovaginal canal creation in gender-affirming vaginoplasties.
Microsurgery
July 2024
Department of Plastic and Reconstructive Surgery, MedStar Franklin Square Medical Center, Baltimore, Maryland, USA.
Introduction: One of the biggest challenges with gender-affirming vaginoplasty was the creation of a long-lasting, durable, patent, and self-lubricating neovaginal canal that allowed for spontaneous, pain-free sexual intercourse. The jejunum was a durable, physiologic, and intestinal option to create the neovaginal canal that minimizes the adverse effects of skin graft, peritoneal, and colonic vaginoplasties. Free jejunal vaginoplasties had been performed in cis females for congenital genitourinary anomalies like Mullerian agenesis or after gynecologic-oncologic surgery but had yet to be reported for gender-affirming vaginoplasties.
View Article and Find Full Text PDFTissue Options for Construction of the Neovaginal Canal in Gender-Affirming Vaginoplasty.
J Clin Med
May 2024
Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR 97239, USA.
Gender-affirming vaginoplasty (GAV) comprises the construction of a vulva and a neovaginal canal. Although technical nuances of vulvar construction vary between surgeons, vulvar construction is always performed using the homologous penile and scrotal tissues to construct the corresponding vulvar structures. Therefore, the main differentiating factor across gender-affirming vaginoplasty techniques is the tissue that is utilized to construct the neovaginal canal.
View Article and Find Full Text PDFSkin Management During Robotic Peritoneal Flap Vaginoplasty for Penoscrotal Hypoplasia Secondary to Pubertal Suppression.
Urology
March 2023
Division of Plastic & Reconstructive Surgery, Oregon Health & Science University, Portland, OR; Oregon Health & Science University, Transgender Health Program, Portland, OR; Department of Urology, Oregon Health & Science University, Portland, OR. Electronic address:
Objective: To demonstrate an approach to skin management in cases of gender-affirming vaginoplasty in the setting of penoscrotal hypoplasia. Gender-affirming penile inversion vaginoplasty is a procedure that has traditionally relied upon the use of local genital tissues to both construct the vulva and line the neovaginal canal. Improved and earlier access to pubertal suppression has resulted in an increasing number of individuals presenting for vaginoplasty with penoscrotal hypoplasia and significantly less skin available to accomplish the goals of vaginoplasty.
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