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Urology. 2008 Oct;72(4):847-9. doi: 10.1016/j.urology.2008.04.004. Epub 2008 May 27.

Robotic sigmoid vaginoplasty: a novel technique.

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  • 1Connecticut Children's Medical Center, Hartford, Connecticut 06106, USA. ckim@ccmckids.org



We describe an innovative approach to sigmoid vaginoplasty that uses robotic-assisted laparoscopy and 1 perineal incision.


Our patient is a 17-year-old 46 XY adolescent. This patient had surgery performed in July 2007. The procedure was performed through 1 camera port and 3 working ports.


The intra-abdominal portion of surgery was performed entirely with a Davinci S robot (Intuitive Surgical, Sunnyvale, CA). The total time in the operating room was 9 hours and 45 minutes. The patient was discharged home on postoperative day 4. On follow-up at 10 months, the patient is dilating successfully with no complications.


The use of minimally invasive surgery continues to grow and evolve. This case represents the first reported robotically assisted laparoscopic sigmoid vaginoplasty. The favorable results support its use as another option for a challenging surgery in which cosmetic results are so important.

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