ORIGINAL RESEARCH article
Front. Surg.
Sec. Obstetrics and Gynecological Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1608666
This article is part of the Research TopicCurrent Trends and Topics in Robotic Surgical Education in UrologyView all 4 articles
Robotic assisted hysterectomy and colpectomy as gender affirming surgery in trans men: an instructional video and perioperative considerations
Provisionally accepted
- University Hospital of Basel, Basel, Switzerland
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The objective of this paper is to present a method of hysterectomy and colpectomy in trans men seeking gender affirming surgery using a uterovaginal manipulator device.Eighteen consecutive patients underwent robotic assisted laparoscopic hysterectomy and colpectomy as gender affirming surgery. The perioperative descriptive statistical data as well as complications were documented. An instructional video has been prepared and is provided as supplementary material.Patients had a median age of 28 years and a mean BMI of 23.5 +/-3.8 Kg/m2. Mean operating time was 175 +/-25 minutes (median 180), mean blood loss was 219 +/-142 ml (median 200) and mean hospital stay was 4.6 +/-5.9 days (median 3). Two major (one compartment syndrome which required re-surgery and one bladder injury which resolved intraoperatively) and seven minor complications occurred (5 patients with urinary retention and 2 urinary tract tract infections) occurred.Robotic assisted laparoscopic hysterectomy and colpectomy in trans men seeking gender affirming surgery is a feasible option, facilitated by the use of a uterovaginal manipulator device. Candidates for the procedure should be properly counseled in anticipation of possible complications.
Keywords: transgender, robotic assisted colpectomy, Instructional video, Gender Affirming Surgery, perioperative complications
Received: 09 Apr 2025; Accepted: 08 Jul 2025.
Copyright: © 2025 Kavvadias, Gosch and Heinzelmann. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Tilemachos Kavvadias, University Hospital of Basel, Basel, Switzerland
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