Journals & Publications | The Center For Gender Affirmation

Robotic TAPCap Vaginoplasty With Fish Skin Graft | Dr. Xu

Written by Admin | Oct 12, 2026, 4:25:49 PM

In a study published in Translational Andrology and Urology, Alex J. Xu, MD, and colleagues at University Hospitals Cleveland Medical Center introduce the "tubularized augmented peritoneal cap" (TAPCap) technique, a robotic-assisted approach for primary gender-affirming vaginoplasty that incorporates a decellularized fish skin xenograft to help build the neovaginal canal. Reviewing outcomes from more than thirty patients, the study reports encouraging early results for a technique designed to reduce dependence on limited natal tissue and support lasting, functional outcomes. This work reflects Dr. Xu's ongoing contributions to expanding surgical options in gender-affirming care.

Read the full study in Translational Andrology and Urology.