{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:07:14Z","timestamp":1784552834980,"version":"3.55.0"},"reference-count":4,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006034","name":"University of Southern California","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006034","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2026,7]]},"abstract":"Abstract<\/jats:title>\n \n Introduction and Hypothesis<\/jats:title>\n Penile inversion vaginoplasty is the most common method utilized for feminizing genital reconstruction in transgender women. However, vaginoplasty has high revision rates. The most common functional reason for revision is stenosis or shortening of the vaginal canal, which can be challenging to perform.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We present the step-by-step technique of a robotic peritoneal flap revision vaginoplasty. We discuss the indications and challenges of this surgery. Detailed steps and helpful hints are included. Finally, we outline the postoperative management and expected outcomes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The robotic peritoneal flap vaginoplasty revision is feasible and safe with total operative time of 3\u00a0h, and estimated blood loss of 20\u00a0ml. The postoperative pathway includes vaginal packing and Foley catheter removal, as well as discharge within the first week. Serial vaginoscopies are later performed to assess adequate healing and patency of the new perineal pouch.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Finding a viable harvesting site after previous perineal flap surgery is feasible. The robotic revision of peritoneal flap vaginoplasty is an appropriate procedure for re-establishing vaginal canal patency and depth.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00192-026-06617-4","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T12:08:52Z","timestamp":1776082132000},"page":"2191-2192","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Peritoneal Flap Revision Vaginoplasty: Step-by-Step Technique: Tips & Tricks"],"prefix":"10.1007","volume":"37","author":[{"given":"V.","family":"Celis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. I.","family":"Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. K.","family":"Fumero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Dubey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. G.","family":"Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Maas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Eskenazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Lusinchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. R.","family":"Doumanian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Travieso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8580-8476","authenticated-orcid":false,"given":"R.","family":"Sotelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"issue":"2","key":"6617_CR1","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1590\/s1677-5538.ibju.2020.0338","volume":"47","author":"JS Li","year":"2021","unstructured":"Li JS, Crane CN, Santucci RA. Vaginoplasty tips and tricks. Int Braz J Urol. 2021;47(2):263\u201373. https:\/\/doi.org\/10.1590\/s1677-5538.ibju.2020.0338.","journal-title":"Int Braz J Urol"},{"key":"6617_CR2","unstructured":"Vaginoplasty procedures, complications and aftercare. Ucsf.edu. https:\/\/transcare.ucsf.edu\/guidelines\/vaginoplasty Accessed July 26, 2024."},{"issue":"11","key":"6617_CR3","doi-asserted-by":"publisher","first-page":"1480","DOI":"10.21037\/tau-22-660","volume":"11","author":"M Shoham","year":"2022","unstructured":"Shoham M, Pang JH, Satterwhite T. Considerations for secondary vaginoplasty. Transl Androl Urol. 2022;11(11):1480\u20133. https:\/\/doi.org\/10.21037\/tau-22-660.","journal-title":"Transl Androl Urol"},{"issue":"6","key":"6617_CR4","doi-asserted-by":"publisher","first-page":"1732","DOI":"10.1111\/andr.13030","volume":"9","author":"R Hontscharuk","year":"2021","unstructured":"Hontscharuk R, Alba B, Hamidian Jahromi A, Schechter L. Penile inversion vaginoplasty outcomes: complications and satisfaction. Andrology. 2021;9(6):1732\u201343. https:\/\/doi.org\/10.1111\/andr.13030.","journal-title":"Andrology"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06617-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-026-06617-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06617-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:52:20Z","timestamp":1784551940000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-026-06617-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":4,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["6617"],"URL":"https:\/\/doi.org\/10.1007\/s00192-026-06617-4","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"7 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Valeria Celis, Veronica Rodriguez, Laura Fumero, Luis Dubey, Federico Eskenazi, Alegria Lusinchi, Leo Doumanian, Roberto Travieso, and Rene Sotelo acquired the patient\u2019s consent for this study.","order":1,"name":"Ethics","label":"Patient\u2019s consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","label":"Conflicts of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}