035 Patient Reported Outcomes of a Robotic-Assisted Double-Skin Flap Vaginoplasty Technique for Transfeminine Genital Reconstructive Surgery

Transfeminine genital reconstructive surgery is an important part of gender affirmation for many transgender women. Currently, various vaginoplasty techniques exist for the creation of a neovagina using genital skin flaps/grafts, peritoneal flaps or intestinal segments. While surgical outcomes have been previously reported, patient reported outcomes are limited. The objective of this study is to investigate patient reported outcomes of a modified robotic-assisted double-skin flap vaginoplasty technique. All patients who underwent vaginoplasty using the double-skin flap technique were identified. Intraoperatively, the technique involved creation of a penile skin flap connected to a long inverted U-shaped perineo-scrotal skin flap, combined perineal and robotic-assisted pelvic dissection and robotic colpopexy of the neovagina to the surrounding peritoneum. Patients were assessed at 2-3-month intervals for the first year following vaginal packing removal. Neoclitoral sensation was evaluated at each follow-up visit. Responses from validated questionnaires, including Global Response Assessment (GRA), Female Genital Self Image Scale (FGSIS), and Female Sexual Function Index (FSFI) were queried.