This article presents a step-by-step surgical technique for fully sexual-sparing robot-assisted cystectomy in women. The standard procedure for radical cystectomy in women involves the removal of multiple organs, which can lead to sexual and voiding dysfunction. To address this, the technique aims to preserve the uterus, fallopian tubes, ovaries, and vagina to improve quality of life. The article provides detailed instructions for trocar placement, instruments required, and the surgical technique itself. The authors emphasize the importance of proper patient selection to avoid compromising oncological outcomes. [Extracted from the article]