All topics

49 publications

Uro-Oncology

Urologic oncology papers where cancer surgery, radiation, prostatectomy, cystectomy, nerve preservation, or oncologic complications intersect with reconstruction.

Representative Work

All Uro-Oncology 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...

Defining Uroplastics as a Collaborative Discipline at the Interface of Urology and Plastic Surgery

Sorenson TJ, Zhao L, Levine JP

Plastic and reconstructive surgery. Global open · 2026

The intersection between urology and plastic surgery represents an important collaborative frontier in modern reconstruction. Defects involving the genitourinary and perineal regions frequently require the coordinated expertise of both specialties to...

Prostatic diseases in transgender women: A systematic review of diagnosis, risk, and management

Bourillon A, Guillot-Tantay C, Freton L, Zhao L, Mesnard B, Morel-Journel N, Mathieu R, Neuville P, Schirmann A, Peyronnet B, Madec FX

International journal of transgender health · 2025

Most transgender women have their prostate left in situ throughout and after their transition. Managing prostate‑related conditions in transgender women remains challenging due to the lack of clear recommendations. This review aims to summarize the...

The current landscape of single-port robotic surgery in urology

Biasatti A, Soputro NA, Porpiglia F, Perdonà S, Abdollah F, Nelson R, Rogers C, Zhao LC, Ghazi A, Challacombe B, Eden C, Mattei A, Fankhauser CD, Breda A, Rocco B, Montorsi F, Briganti A, Pellegrino AA, Mottrie A, De Groote R, Haese A, Graefen M, Moschovas MC, Patel V, Simone G, Galfano A, Secco S, Bertolo R, Pandolfo SD, Pansadoro V, Carvalho FLF, Joseph JV, Ramadan M, Shakuri-Rad J, Yuh B, Nix J, Lee DI, Rais-Bahrami S, Hemal S, Eltemamy M, Beksac AT, Schwen Z, Su LM, Buscarini M, Palese M, Tewari A, Wiklund P, Cherullo EE, Vourganti S, Linehan JA, Wu Z, Stifelman M, Ahmed M, Mehrazin R, Badani K, Link RE, Crivellaro S, Kaouk J, Autorino R

Nature reviews. Urology · 2025

The advent of the purpose-built da Vinci single-port robotic platform marks a pivotal advancement in minimally invasive urological surgery. Designed to overcome the ergonomic and technical limitations of prior single-site approaches, the single-port system...

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...

Exploring the Incidence of Testicular Neoplasms in the Transgender Population: A Case Series

Shanker EM, Ren Q, Zhao LC, Bluebond-Langner R, Deng FM

Archives of pathology & laboratory medicine · 2025

The use of hormonal therapy and gender-affirming surgery in the transgender community has been rising during the last several years. Although it is generally safe, hormonal therapy's link to testicular cancer remains uncertain. To review the incidence of...

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...

Robotic Repair of Ureteroenteric Stricture Following Radical Cystectomy: A Multi-Institutional Experience

Ghodoussipour S, Ahmadi N, Goh A, Alemozaffar M, Nabavizadeh R, Gallucci M, Simone G, Tuderti G, Gill I, Desai M, Zhao LC, Aron M

Urology · 2022

To examine the safety, feasibility and durability of robotic reimplantation of ureteroenteric stricture after radical cystectomy. A retrospective multi-institutional review was performed for all patients undergoing robotic repair of ureteroenteric...

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...

Multi-institutional Outcomes and Associations After Excision and Primary Anastomosis for Radiotherapy-associated Bulbomembranous Urethral Stenoses Following Prostate Cancer Treatment

Voelzke BB, Leddy LS, Myers JB, Breyer BN, Alsikafi NF, Broghammer JA, Elliott SP, Vanni AJ, Erickson BA, Buckley JC, Zhao LC, Wright T, Rourke KF, Trauma and Urologic Reconstructive Network of Surgeons (TURNS)

Urology · 2021

To evaluate the outcomes of excision and primary anastomosis (EPA) for radiation-associated bulbomembranous stenoses using a multi-institutional analysis. The treatment of radiation-associated urethral stenosis is typically complex owing to the adverse...

Clinical Outcomes of a Combined Robotic, Transabdominal, and Open Transperineal Approach for Anastomotic Posterior Urethroplasty

Cavallo JA, Vanni AJ, Dy GW, Stair S, Shakir NA, Canes D, Zhao LC

Journal of endourology · 2021

Background: Robotic pelvic surgery is being increasingly utilized for reconstruction proximal to the genitourinary diaphragm. We describe a combined robotic, transabdominal, and open transperineal approach for complex anastomotic posterior urethroplasty....

Robotic Assisted Repair of Post-Ileal Conduit Parastomal Hernia: Technique and Outcomes

Xu AJ, Shakir NA, Jun MS, Zhao LC

Urology · 2021

To describe a novel method of robotic assisted laparoscopic parastomal hernia repair (RAL-PHR), including the evolving use of the Da Vinci Single Port (SP) robotic system. Demographic, intraoperative, and postoperative variables were collected for patients...

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...

Outcomes and Risk Factors of Revision and Replacement Artificial Urinary Sphincter Implantation in Radiated and Nonradiated Cases

Fuller TW, Ballon-Landa E, Gallo K, Smith TG, Ajay D, Westney OL, Elliott SP, Alsikafi NF, Breyer BN, Cohen AJ, Vanni AJ, Broghammer JA, Erickson BA, Myers JB, Voelzke BB, Zhao LC, Buckley JC

The Journal of urology · 2020

Risk factors for complications after artificial urinary sphincter surgery include a history of pelvic radiation and prior artificial urinary sphincter complication. The survival of a second artificial urinary sphincter in the setting of prior device...

Multi-Institutional Outcomes of Minimally Invasive Harvest of Rectal Mucosa Graft for Anterior Urethral Reconstruction

Granieri MA, Zhao LC, Breyer BN, Voelzke BB, Baradaran N, Grucela AL, Marcello P, Vanni AJ

The Journal of urology · 2019

We report multi-institutional outcomes in patients who underwent urethroplasty with a rectal mucosa graft. We used the TURNS (Trauma and Urologic Reconstructive Network of Surgeons) database to identify patients who underwent urethral reconstruction with...

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...

Effect of Malnutrition on Radical Nephroureterectomy Morbidity and Mortality: Opportunity for Preoperative Optimization

Katz M, Wollin DA, Donin NM, Meeks W, Gulig S, Zhao LC, Wysock JS, Taneja SS, Huang WC, Bjurlin MA

Clinical genitourinary cancer · 2018

Nutritional status has been increasingly recognized as an important predictor of prognosis and surgical outcomes for cancer patients. We evaluated the effect of preoperative malnutrition on the development of surgical complications and mortality after...

Novel Use of Fluorescence Lymphangiography During Robotic Groin Dissection for Penile Cancer

Bjurlin MA, Zhao LC, Kenigsberg AP, Mass AY, Taneja SS, Huang WC

Urology · 2017

To describe a novel technique of robotic inguinal lymphadenectomy with near infrared fluorescence imaging (NIRF) using indocyanine green (ICG) to facilitate lymph node identification during robotic groin dissection for penile cancer. The patient is placed...

Outcomes of Urethroplasty to Treat Urethral Strictures Arising From Artificial Urinary Sphincter Erosions and Rates of Subsequent Device Replacement

Keihani S, Chandrapal JC, Peterson AC, Broghammer JA, Chertack N, Elliott SP, Rourke KF, Alsikafi NF, Buckley JC, Breyer BN, Smith TG, Voelzke BB, Zhao LC, Brant WO, Myers JB, Trauma and Urologic Reconstruction Network of Surgeons (TURNS, TURNSresearch.org)

Urology · 2017

To evaluate the success of urethroplasty for urethral strictures arising after erosion of an artificial urinary sphincter (AUS) and rates of subsequent AUS replacement. From 2009-2016, we identified patients from the Trauma and Urologic Reconstruction...

Radiation-induced complex anterior urinary fistulation for prostate cancer: a retrospective multicenter study from the Trauma and Urologic Reconstruction Network of Surgeons (TURNS)

Osterberg EC, Vanni AJ, Gaither TW, Awad MA, Broghammer JA, Pate SC, Wyre H, Myers JB, Elliott SP, Krishna S, Zhao LC, McClung C, Erickson BA, Breyer BN

World journal of urology · 2016

To characterize anterior urinary fistulae following radiotherapy for prostate cancer. Over 10 years, 31 men were identified to have an anterior urinary fistula. A retrospective database was created to evaluate patient demographics, presentation, diagnostic...

Fasciocutaneous flap reinforcement of ventral onlay buccal mucosa grafts enables neophallus revision urethroplasty

Wilson SC, Stranix JT, Khurana K, Morrison SD, Levine JP, Zhao LC

Therapeutic advances in urology · 2016

Urethral strictures or fistulas are common complications after phalloplasty. Neourethral defects pose a difficult reconstructive challenge using standard techniques as there is generally insufficient ventral tissue to support a graft urethroplasty. We...

Outcomes after urethroplasty for radiotherapy induced bulbomembranous urethral stricture disease

Hofer MD, Zhao LC, Morey AF, Scott JF, Chang AJ, Brandes SB, Gonzalez CM

The Journal of urology · 2013

We recently demonstrated that radiotherapy induced urethral strictures can be successfully managed with urethroplasty. We increased size and followup in our multi-institutional cohort, and evaluated excision and primary anastomosis as treatment for...

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...

Impact of increasing prevalence of minimally invasive prostatectomy on open prostatectomy observed in the national inpatient sample and national surgical quality improvement program

Hofer MD, Meeks JJ, Cashy J, Kundu S, Zhao LC

Journal of endourology · 2013

Laparoscopic and especially robot-assisted minimally invasive prostatectomy (MIP) has increased in popularity over the past decade. We analyzed how the increasing prevalence of MIP has affected the outcomes of MIP and open radical prostatectomy (RRP). In...

Screening urine analysis before bacille Calmette-Guérin instillation does not reduce the rate of infectious complications

Zhao LC, Meeks JJ, Helfand BT, Ross FR, Herr HW, Kundu SD

BJU international · 2011

Study Type - Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? Infectious complication is a risk of bacille Calmette-Guérin instillation. Urine analysis in asymptomatic patients has been used as a measure...

Simple modifications in operating room processes to reduce the times and costs associated with robot-assisted laparoscopic radical prostatectomy

Rebuck DA, Zhao LC, Helfand BT, Casey JT, Navai N, Perry KT, Nadler RB

Journal of endourology · 2011

Robot-assisted laparoscopic radical prostatectomy (RALRP) is the most expensive, yet most common, surgical treatment for patients with prostate cancer. Furthermore, its popularity continues to grow despite the lack of evidence for functional and oncologic...

Incidence and outcomes of ductal carcinoma of the prostate in the USA: analysis of data from the Surveillance, Epidemiology, and End Results program

Meeks JJ, Zhao LC, Cashy J, Kundu S

BJU international · 2011

To use the national Surveillance, Epidemiology, and End Results (SEER) cancer registry to describe the natural history, national incidence and treatment patterns for ductal prostate cancer (PCa) over the last 20 years, as the available literature on ductal...

Is the transition from open to robotic prostatectomy fair to your patients? A single-surgeon comparison with 2-year follow-up

Nadler RB, Casey JT, Zhao LC, Navai N, Smith ZL, Zhumkhawala A, Macejko AM

Journal of robotic surgery · 2009

Robot-assisted radical prostatectomy (RARP) is a procedure thought to require experience with a significant number of cases before mastering. Most RARP series examine outcomes after the learning curve or by combining results from multiple surgeons. We...

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...

A multi-institutional study on the safety and efficacy of specimen morcellation after laparoscopic radical nephrectomy for clinical stage T1 or T2 renal cell carcinoma

Wu SD, Lesani OA, Zhao LC, Johnston WK, Wolf JS, Clayman RV, Nadler RB

Journal of endourology · 2009

Specimen morcellation during laparoscopic radical nephrectomy (LRN) for renal cell carcinoma (RCC) is controversial. We seek to evaluate the safety and efficacy of specimen morcellation and LRN for treatment of presumed malignant renal lesions. We...

Risk factors and management of urine leaks after partial nephrectomy

Meeks JJ, Zhao LC, Navai N, Perry KT, Nadler RB, Smith ND

The Journal of urology · 2008

As nephron sparing surgery is used more frequently for select renal tumors, the incidence of urine leaks will likely increase. To our knowledge the risk factors of and management strategies for urine leaks have not been studied. We report our experience...

Safety and efficacy of laparoscopic radical nephrectomy with manual specimen morcellation for stage cT1 renal-cell carcinoma

Lesani OA, Zhao LC, Han J, Okotie O, Desireddi NV, Johnston WK, Nadler RB

Journal of endourology · 2008

Specimen morcellation during laparoscopic radical nephrectomy for renal-cell carcinoma is controversial, and supporting literature remains sparse. We seek to evaluate the safety and efficacy of morcellation for specimen removal after laparoscopic radical...

Renal ischemia/reperfusion injury activates the enhancer domain of the human cytomegalovirus major immediate early promoter

Kim SJ, Varghese TK, Zhang Z, Zhao LC, Thomas G, Hummel M, Abecassis M

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2005

Reactivation of latent human cytomegalovirus is of significant concern in immunocompromised transplant patients and is likely to occur through transcriptional activation of immediate early (ie) gene expression through mechanisms that are not well...