All topics

21 publications

Bladder Neck & Vesicourethral

Bladder neck contracture, vesicourethral anastomotic stenosis, Y-V plasty, outlet reconstruction, continence, and salvage approaches after prostate or pelvic surgery.

Representative Work

All Bladder Neck & Vesicourethral Publications

Comparative Outcomes and Management of Vesicourethral Anastomotic Stenosis After Contemporary Standard and Pelvic-Fascia-Sparing Robotic-Assisted Radical Prostatectomy Techniques

Nabavizadeh B, Blum KA, Zhong J, Winograd J, Li A, Dowd JM, Lin CF, Nguyen AT, Zhao LC, Kowalczyk KJ, Hu JC

JU open plus · 2026

Vesicourethral anastomotic stenosis (VUAS) occurs after 1 to 3% of robotic-assisted radical prostatectomies (RARPs). Pelvic fascia-sparing techniques preserve more native anatomy and may reduce stenoses, but evidence is lacking. The aim of this study was...

Single-port robotic ileal ureter reconstruction: feasibility, technique, and early outcomes

Ratanapornsompong W, Sarawong S, Lin JS, Elbakry A, Zhao LC

World journal of urology · 2026

Ileal ureter interposition is a well-established option for complex ureteral strictures. While minimally invasive approaches have evolved, the application of the single-port (SP) robotic platform for ileal ureter reconstruction has not been previously...

Posterior Urethral Reconstruction With Ileal Chimeric Free Flap: A Novel Approach for Management of Radiation-induced Devastated Bladder Outlet

Sorenson TJ, Elbakry AA, Ratanapornsompong W, Sarawong S, Tran D, Volk A, Levine J, Zhao LC

Urology · 2025

To describe our institutional experience of a case series using a novel multi-segment, chimeric free ileal flap for posterior urethral reconstruction, focusing on surgical technique, perioperative management, and functional outcomes. Complex posterior...

Robotic YV plasty outcomes for bladder neck contracture vs. vesico-urethral anastomotic stricture

Viegas V, Freton L, Richard C, Haudebert C, Khene ZE, Hascoet J, Verhoest G, Mathieu R, Vesval Q, Zhao LC, Bensalah K, Peyronnet B

World journal of urology · 2024

To compare the outcomes of patients undergoing robotic YV plasty for bladder neck contracture (BNC) vs. vesico-urethral anastomotic stricture (VUAS). A retrospective study included male patients who underwent robotic YV plasty for BNC after endoscopic...

Summarizing the evidence for robotic-assisted bladder neck reconstruction: Systematic review of patency and incontinence outcomes

Zhang TR, Alford A, Zhao LC

Asian journal of urology · 2023

Bladder neck contracture and vesicourethral anastomotic stenosis are difficult to manage endoscopically, and open repair is associated with high rates of incontinence. In recent years, there have been increasing reports of robotic-assisted bladder neck...

Robotic-assisted Posterior Urethroplasty: Outcomes From 105 Men in a Single-center Experience

Zhang TR, Alford A, Wang A, Zhao LC

Urology · 2023

To determine surgical outcomes in a large of cohort men undergoing robotic-assisted posterior urethroplasty (RPU), which has been described in small series as a viable option. We performed a retrospective review of all 105 men who underwent RPU from...

Robotic-Assisted Lower Genitourinary Tract Reconstruction

Xu AJ, Mishra K, Lee YS, Zhao LC

The Urologic clinics of North America · 2022

With the widespread dissemination of robotic surgical platforms, pathologies that were previously deemed challenging can now be treated more reliably with minimally invasive procedures via the robot. The advantages of precise articulation for dissection...

Single-Port Robotic Posterior Urethroplasty Using Buccal Mucosa Grafts: Technique and Outcomes

Liu W, Shakir N, Zhao LC

Urology · 2021

To describe the technique, feasibility and short-term outcomes of buccal mucosa grafts in robotic lower urinary tract reconstruction. We reviewed 9 patients who underwent single-port robotic posterior urethroplasty with buccal mucosa graft from...

One or Two Stage Buccal Augmented Urethroplasty has a High Success Rate in Treating Post Phalloplasty Anastomotic Urethral Stricture

Beamer MR, Schardein J, Shakir N, Jun MS, Bluebond-Langner R, Zhao LC, Nikolavsky D

Urology · 2021

To describe the outcomes of single-stage and staged repairs in properly selected patients with phalloplasty anastomotic strictures. A bi-institutional retrospective review was performed of all patients who underwent anastomotic stricture repairs between...

Robotic-assisted genitourinary reconstruction: current state and future directions

Shakir NA, Zhao LC

Therapeutic advances in urology · 2021

With the widespread dissemination of robotic surgical platforms, pathology previously deemed insurmountable or challenging has been treated with reliable and replicable outcomes. The advantages of precise articulation for dissection and suturing, tremor...

Durable Treatment of Refractory Vesicourethral Anastomotic Stenosis via Robotic-assisted Reconstruction: A Trauma and Urologic Reconstructive Network of Surgeons Study

Shakir NA, Alsikafi NF, Buesser JF, Amend G, Breyer BN, Buckley JC, Erickson BA, Broghammer JA, Parker WP, Zhao LC

European urology · 2021

Refractory vesicourethral anastomotic stenosis (VUAS) after radical prostatectomy poses challenges distinct from bladder neck contracture, due to close proximity to the sphincter mechanism. Open reconstruction is technically demanding, risking de novo...

Patency and Incontinence Rates After Robotic Bladder Neck Reconstruction for Vesicourethral Anastomotic Stenosis and Recalcitrant Bladder Neck Contractures: The Trauma and Urologic Reconstructive Network of Surgeons Experience

Kirshenbaum EJ, Zhao LC, Myers JB, Elliott SP, Vanni AJ, Baradaran N, Erickson BA, Buckley JC, Voelzke BB, Granieri MA, Summers SJ, Breyer BN, Dash A, Weinberg A, Alsikafi NF

Urology · 2018

To review a robotic approach to recalcitrant bladder neck obstruction and to assess success and incontinence rates. Patients with a recalcitrant bladder neck contracture or vesicourethral anastomotic stenosis who underwent robotic bladder neck...

Robotic Y-V Plasty for Recalcitrant Bladder Neck Contracture

Granieri MA, Weinberg AC, Sun JY, Stifelman MD, Zhao LC

Urology · 2018

To demonstrate the technique and the outcomes of robot assisted Y-V plasty bladder neck reconstruction (RYVBNR). We present our technique for treatment of recalcitrant bladder neck contracture (BNC) in 7 patients who underwent RYVBNR at our institution...

Deep lateral transurethral incisions for recurrent bladder neck contracture: promising 5-year experience using a standardized approach

Ramirez D, Zhao LC, Bagrodia A, Scott JF, Hudak SJ, Morey AF

Urology · 2013

To evaluate our 5-year experience with deep lateral transurethral incisions of bladder neck contracture (TUIBNC), identify risk factors associated with failure of procedure, and assess outcomes of men subsequently treated for concomitant or de novo stress...

Application of continuous tension to aid in performing the vesicourethral anastomosis for robot-assisted prostatectomy

Meeks JJ, Zhao LC, Greco KA, Wu SD, Nadler RB

Journal of endourology · 2009

Approximation of the bladder to urethra during robot-assisted laparoscopic prostatectomy (RALP) is a critical step toward achieving long-term continence. To determine the impact on surgical outcomes after RALP, we compare two techniques for constructing...