You have accessJournal of UrologyCME1 Apr 2023PD12-09 OUTCOMES OF 429 PRIMARY ROBOTIC PERITONEAL FLAP GENDER AFFIRMING VAGINOPLASTY CASES Gaines Blasdel, Charles Dubach-Reinhold, Elijah Castle, Rachel Bluebond-Langner, and Lee Zhao Gaines BlasdelGaines Blasdel More articles by this author , Charles Dubach-ReinholdCharles Dubach-Reinhold More articles by this author , Elijah CastleElijah Castle More articles by this author , Rachel Bluebond-LangnerRachel Bluebond-Langner More articles by this author , and Lee ZhaoLee Zhao More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003259.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Gender affirming robotic peritoneal flap vaginoplasty is a promising adaptation of established vaginoplasty techniques that has been performed since 2017. We report perioperative factors and patient reported outcomes for all consecutive cases at one center. METHODS: Records of patients undergoing primary robotic peritoneal flap gender affirming vaginoplasty with the senior authors from 9/2017-8/2022 were retrospectively reviewed. Operative time, length of stay, complications, self-report of orgasm and dilation, and date of last follow up were recorded for all patients. Clavien-Dindo grading for severity of complications were organized according to occurrence prior or after 90 days postoperatively. For outcomes with incidence greater than 5%, statistical analysis for change over years was performed using nonparametric tests. RESULTS :Primary robotic peritoneal flap gender affirming vaginoplasty was performed on 429 patients with median follow up of 369 days (interquartile range 186-607). Of these, 413 patients (96%) had 90 day or longer follow up and 16 (4%) had a Clavien-Dindo 3a or 3b complication within that period (Table 1). 245 patients had a follow up of 1 year or greater, and 9 patients (4%) had Clavien-Dindo 3a or 3b complications after 90 days in this cohort. Overall elective revision rate was 17%, with 1% revision for vaginal depth. Significant decrease in operative time was observed (p<.0001), with a mean operative time of 101 mins for cases 400-429 . Rate of dilating using the largest dilator to the deepest dot increased over these first 300 cases (p<.001) and rate of elective revision decreased (p <.001). CONCLUSIONS: Primary robotic peritoneal flap gender affirming vaginoplasty has low morbidity and complication rates with durable vaginal depth and orgasmic function at long term follow up. Source of Funding: none © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e403 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Gaines Blasdel More articles by this author Charles Dubach-Reinhold More articles by this author Elijah Castle More articles by this author Rachel Bluebond-Langner More articles by this author Lee Zhao More articles by this author Expand All Advertisement PDF downloadLoading ...
Read full abstract