Robotic-assisted laparoscopic colpectomy combined with a hysterectomy and bilateral salpingo-oophorectomy versus a vaginal colpectomy in trans masculine individuals

Colpectomy entails the surgical removal of the vaginal epithelium. It may be performed in trans-masculine individuals as gender-affirming surgery. Vaginal colpectomy is a complex procedure with potentially severe complications. As alternative, robotic-assisted laparoscopic colpectomy combined with r...

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Bibliographic Details
Published in:International journal of transgender health 2024-10, Vol.25 (4), p.878-887
Main Authors: Nikkels, Charlotte, Vestering, Asra, Huirne, Judith A F, de Leeuw, Robert A, van Mello, Norah M, Groenman, Freek A
Format: Article
Language:English
Subjects:
Hysterectomy
Laparoscopy
Oophorectomy
Robotics
Vagina
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Summary:Colpectomy entails the surgical removal of the vaginal epithelium. It may be performed in trans-masculine individuals as gender-affirming surgery. Vaginal colpectomy is a complex procedure with potentially severe complications. As alternative, robotic-assisted laparoscopic colpectomy combined with robotic-assisted laparoscopic hysterectomy and possible bilateral salpingo-oophorectomy (RAC+) can be performed. To compare surgical outcomes of robotic-assisted colpectomy combined with a hysterectomy and bilateral salpingo-oophorectomy with a vaginal colpectomy after previous hysterectomy in trans masculine patients. A single-center retrospective cohort study included 310 transgender men who underwent either robotic-assisted colpectomy combined with a hysterectomy and bilateral salpingo-oophorectomy (RAC+) (  = 140) or vaginal colpectomy (  = 170) between January 2006 and December 2019. Surgical details and clinical outcomes were collected from all patients. The median intra-operative blood loss was 100 mL (50-200) in RAC + and 300 mL (200-450) in vaginal colpectomy (  
ISSN:2689-5269
2689-5277
2689-5277
DOI:10.1080/26895269.2023.2278737