diff --git a/lib/modules/platform/azure/__snapshots__/index.spec.ts.snap b/lib/modules/platform/azure/__snapshots__/index.spec.ts.snap
index 21858fbbb4b3ccf6c724715910a4255fbc973dd1..3be9ce9411245c3cd36092068f8865f2a9ef1a29 100644
--- a/lib/modules/platform/azure/__snapshots__/index.spec.ts.snap
+++ b/lib/modules/platform/azure/__snapshots__/index.spec.ts.snap
@@ -274,7 +274,7 @@ exports[`modules/platform/azure/index initRepo should initialise the config for
 }
 `;
 
-exports[`modules/platform/azure/index updatePr(prNo, title, body) should close the PR 1`] = `
+exports[`modules/platform/azure/index updatePr(prNo, title, body, platformOptions) should close the PR 1`] = `
 [
   [
     {
@@ -288,7 +288,9 @@ exports[`modules/platform/azure/index updatePr(prNo, title, body) should close t
 ]
 `;
 
-exports[`modules/platform/azure/index updatePr(prNo, title, body) should reopen the PR 1`] = `
+exports[`modules/platform/azure/index updatePr(prNo, title, body, platformOptions) should re-approve the PR 1`] = `undefined`;
+
+exports[`modules/platform/azure/index updatePr(prNo, title, body, platformOptions) should reopen the PR 1`] = `
 [
   [
     {
@@ -308,7 +310,7 @@ exports[`modules/platform/azure/index updatePr(prNo, title, body) should reopen
 ]
 `;
 
-exports[`modules/platform/azure/index updatePr(prNo, title, body) should update the PR 1`] = `
+exports[`modules/platform/azure/index updatePr(prNo, title, body, platformOptions) should update the PR 1`] = `
 [
   [
     {
@@ -321,7 +323,7 @@ exports[`modules/platform/azure/index updatePr(prNo, title, body) should update
 ]
 `;
 
-exports[`modules/platform/azure/index updatePr(prNo, title, body) should update the PR without description 1`] = `
+exports[`modules/platform/azure/index updatePr(prNo, title, body, platformOptions) should update the PR without description 1`] = `
 [
   [
     {
diff --git a/lib/modules/platform/azure/index.spec.ts b/lib/modules/platform/azure/index.spec.ts
index da8a998a7b702e69bf89f3f1018b5a7168cfc181..29493cd24212171d36b1fee8a10f1f6c7605bf8a 100644
--- a/lib/modules/platform/azure/index.spec.ts
+++ b/lib/modules/platform/azure/index.spec.ts
@@ -812,7 +812,7 @@ describe('modules/platform/azure/index', () => {
     });
   });
 
-  describe('updatePr(prNo, title, body)', () => {
+  describe('updatePr(prNo, title, body, platformOptions)', () => {
     it('should update the PR', async () => {
       await initRepo({ repository: 'some/repo' });
       const updatePullRequest = jest.fn();
@@ -881,6 +881,43 @@ describe('modules/platform/azure/index', () => {
       });
       expect(updatePullRequest.mock.calls).toMatchSnapshot();
     });
+
+    it('should re-approve the PR', async () => {
+      await initRepo({ repository: 'some/repo' });
+      const prResult = {
+        pullRequestId: 456,
+        createdBy: {
+          id: 123,
+          url: 'user-url',
+        },
+      };
+      const prUpdateResult = {
+        reviewerUrl: prResult.createdBy.url,
+        vote: AzurePrVote.Approved,
+        isFlagged: false,
+        isRequired: false,
+      };
+      const updateFn = jest.fn(() => prUpdateResult);
+      azureApi.gitApi.mockImplementationOnce(
+        () =>
+          ({
+            updatePullRequest: jest.fn(() => prResult),
+            createPullRequestReviewer: updateFn,
+            getPullRequestById: jest.fn(() => ({
+              pullRequestId: prResult.pullRequestId,
+              createdBy: prResult.createdBy,
+            })),
+          } as any)
+      );
+      const pr = await azure.updatePr({
+        number: prResult.pullRequestId,
+        prTitle: 'The Title',
+        prBody: 'Hello world',
+        platformOptions: { autoApprove: true },
+      });
+      expect(updateFn).toHaveBeenCalled();
+      expect(pr).toMatchSnapshot();
+    });
   });
 
   describe('ensureComment', () => {
diff --git a/lib/modules/platform/azure/index.ts b/lib/modules/platform/azure/index.ts
index b1eb1430369d14377ff3550b1b5b4fae9efec17a..f5b39106638bb2e76cc9e56019a35b6321e39a29 100644
--- a/lib/modules/platform/azure/index.ts
+++ b/lib/modules/platform/azure/index.ts
@@ -506,6 +506,7 @@ export async function updatePr({
   prTitle: title,
   prBody: body,
   state,
+  platformOptions,
 }: UpdatePrConfig): Promise<void> {
   logger.debug(`updatePr(${prNo}, ${title}, body)`);
 
@@ -527,6 +528,21 @@ export async function updatePr({
   } else if (state === 'closed') {
     objToUpdate.status = PullRequestStatus.Abandoned;
   }
+  if (platformOptions?.autoApprove) {
+    const pr = await azureApiGit.getPullRequestById(prNo, config.project);
+    await azureApiGit.createPullRequestReviewer(
+      {
+        reviewerUrl: pr.createdBy!.url,
+        vote: AzurePrVote.Approved,
+        isFlagged: false,
+        isRequired: false,
+      },
+      config.repoId,
+      // TODO #7154
+      pr.pullRequestId!,
+      pr.createdBy!.id!
+    );
+  }
 
   await azureApiGit.updatePullRequest(objToUpdate, config.repoId, prNo);
 }