All topics

160 publications

Outcomes, Methods & Education

Outcomes science, patient-reported outcomes, registries, staging, quality of life, learning curves, guidelines, education, simulation, and methods papers that support surgical interpretation.

Representative Work

All Outcomes, Methods & Education 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 non-transecting Y-V flap pyeloplasty with stricturoplasty for ureteropelvic junction obstruction: a case series

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

World journal of urology · 2026

To report perioperative and short-term outcomes of single-port (SP) robotic vascular-preserving (non-transecting) Y-V flap pyeloplasty with stricturoplasty for ureteropelvic junction obstruction (UPJO). The most commonly performed pyeloplasty technique is...

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...

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...

Ureteral stricture: current treatment algorithm and key surgical principles in the robotic upper urinary tract reconstruction era

Bourillon A, Peyronnet B, McGuire BB, Pinar U, Lee Z, Nair R, Stifelman M, Eun D, Zhao LC, Bhatt N, CORRUS-T Collaborative Research on Reconstruction of Ureteral Stricture-Transatlantic

World journal of urology · 2026

PURPOSE: Robot-assisted surgical management of ureteral stricture is a relatively uncommon procedure with numerous techniques described. This literature review combined with expert opinion outlines the key surgical principles of ureteral reconstruction and...

Robot-assisted Buccal Mucosa Graft Ureteroplasty for Ureteral Stricture: A European Multicenter Case Series

Bourillon A, McGuire BB, Pinar U, Naughton A, Tabourin T, Parra J, Vaessen C, Borojeni S, Freton L, Richard C, Zhao L, Bensalah K, Peyronnet B

European urology open science · 2025

Robot-assisted buccal mucosa graft (BMG) ureteroplasty was introduced a decade ago and has since gained wide adoption within the urology community. However, available data on the outcomes of robot-assisted BMG ureteroplasty remain limited, and no large...

Robotic vs. open ureteral reimplantation: A retrospective comparative single-centre series

Bourillon A, Freton L, Verhoest G, Hascoet J, Richard C, Haudebert C, Mathieu R, Zhao LC, Bensalah K, Peyronnet B

BJUI compass · 2025

To compare the outcomes of open versus robotic ureteral reimplantation procedures at a single centre. The charts of all patients with ureteral strictures who underwent open ureteral reimplantation between 2005 and 2024, and those who underwent robotic...

Outcomes Following Metoidioplasty and Phalloplasty Gender Affirming Surgery With Urethral Lengthening: A Modified Delphi Consensus Study

Blasdel G, Chen ML, Berli J, Dy G, Dugi D, Djordjevic M, Bizic M, Zhao L, Schechter L, Santucci R, Myers JB, Goodwin I, Nikolavsky D, Meltzer T, Watt A, Pariser J, Figler B, Kuzon W, Hadj-Moussa M, McCormick B, Brown LK, Nigriny JF, Moses RA

Urology · 2025

To generate surgeon consensus on metoidioplasty and phalloplasty gender-affirming surgery outcomes statements using a modified Delphi method. We invited metoidioplasty and phalloplasty gender-affirming surgery surgeons to anonymously participate in a...

Gender-affirming Vaginoplasty Using Robotic Peritoneal Flap Method: Long-term Outcomes of 500 Cases

Blasdel G, Hemal K, Dubach-Reinhold C, Parker A, Amro C, Zhao LC, Bluebond-Langner R

Annals of surgery · 2025

To determine the outcomes of robotic peritoneal flap vaginoplasty. There is a lack of long-term outcomes data for gender-affirming vaginoplasty to inform patient decision-making. A retrospective cohort of 500 consecutive patients undergoing robotic...

Quantifying the Learning Curve in Robotic Peritoneal Flap Vaginoplasty

Hemal K, Blasdel G, Parker A, Amro C, Dubach-Reinhold C, Zhao LC, Bluebond-Langner R

Annals of plastic surgery · 2025

The learning curve (LC) is the process of mastering a new technique. This study assesses the LC for robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV). A retrospective chart review of all consecutive patients undergoing RPGAV between...

Patient-reported symptoms suggestive of vesicoureteral reflux after robotic ureteral reimplantation in adults

Chao BW, Zhao K, Lee M, Lin JS, Raver M, Stifelman MD, Zhao LC, Eun DD

Journal of robotic surgery · 2025

Little is known regarding the incidence of symptomatic, de novo vesicoureteral reflux (VUR) after ureteral reimplantation in adults. We sought to characterize this phenomenon in a contemporary cohort. We conducted a retrospective review of a...

Development and Assessment of a Patient-Reported Outcome Instrument for Gender-Affirming Care

Kaur MN, Rae C, Morrison SD, Laungani A, Brassard P, Mullender MG, van de Grift TC, Young-Afat DA, Sørensen JA, Poulsen L, Cornacchi SD, Graesser JG, Igbokwe MM, Satterwhite T, Pang JH, Akhavan AA, Hu A, Johnson N, Cano SJ, Savard K, Mundinger GS, Capitán-Cañadas F, Simon D, Capitán L, Coon D, Brydges HT, Bluebond-Langner R, Rodriguez ED, Zhao LC, Armstrong KA, Dean NR, Crittenden TA, Cannell ZA, Lane M, Haley CA, Hsu J, Dy GW, Peters BR, Berli JU, Milano CE, Lava CX, Fan KL, Del Corral GA, Kaoutzanis C, Kalia N, Higuchi T, Ganor O, Subedi S, Douglass LM, Hamidian Jahromi A, Hosseini HC, Ihnat J, Parikh N, Hu K, Alperovich M, Ray EC, Aref Y, Hassan BA, Liang F, Mundy L, Chen ML, Pusic AL, Klassen AF

JAMA network open · 2025

There is an urgent need for a validated gender-affirming care-specific patient-reported outcome measure (PROM). To field test the GENDER-Q, a new PROM for gender-affirming care, in a large, international sample of transgender and gender diverse (TGD)...

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...

Robotic upper urinary tract reconstruction for ureteral stricture: a single-center series

Bourillon A, Freton L, Hascoet J, Richard C, Haudebert C, Verhoest G, Mathieu R, Zhao LC, Bensalah K, Peyronnet B

Journal of robotic surgery · 2025

The surgical approach of ureteral stricture has changed dramatically over the past 15 years with the rise of robotic upper urinary tract reconstruction. This study aimed to evaluate the outcomes of all robotic ureteral reconstructions performed at a single...

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...

Early Real-World Experience With Optilume Drug-coated Balloon for Anterior Urethral Strictures and Posterior Urethral Stenoses

Patel HV, Erickson BA, Abbasi B, Alsikafi NF, Broghammer JA, Pandit K, Buckley JC, Elliott SP, Daryabari SS, Myers JB, Smith TG, Lindekugel G, Voelzke BB, Vanni AJ, Zhao LC, Breyer BN

Urology · 2025

To determine the early experience with paclitaxel-drug coated balloon (DCB) for both anterior urethral stricture disease (aUSD) and posterior urethral stenoses (PUS). A retrospective review of patients undergoing Optilume DCB in the Trauma and Urologic...

Bridging the evidence gap in gender-affirming care: urgent research needs

Dolendo I, Zhao L, Bluebond-Langner R, Anger JT

BJU international · 2025

Gender-affirming care has emerged as a critical component of healthcare, addressing the specific medical and psychosocial needs of transgender and non-binary individuals. In this review article, we address what we see as the most pressing evidence gaps in...

Development and Validation of the Length, Segment, and Etiology Anterior Urethral Stricture Disease Staging System Using Longitudinal Urethroplasty Outcomes Data From the Trauma and Urologic Reconstructive Network of Surgeons

Erickson BA, Tuong MN, Zorn AN, Schlaepfer CH, Alsikafi NF, Breyer BN, Broghammer JA, Buckley JC, Elliott SP, Myers JB, Peterson AC, Rourke KF, Smith TG, Vanni AJ, Voelzke BB, Zhao LC

The Journal of urology · 2024

The purpose of this study was to create and validate an anterior urethral stricture disease (aUSD) staging system based on the previously validated Length (L), Urethral Segment (S), and Etiology (E; LSE) classification system. The Trauma and Urologic...

Impact of Gender Affirming Vaginoplasty on Lower Urinary Tract Function: A Single-Center Prospective Cohort Study

Lee J, Oh C, Brucker B, Bluebond-Langner R, Zhao LC

Neurourology and urodynamics · 2024

With increased access to gender affirming care, the rate of vaginoplasties in the US has risen rapidly. Although some retrospective studies report high rates of lower urinary tract symptoms (LUTS) after gender affirming vaginoplasty, the type and severity...

Incidence, Complications, and Long-term Outcomes of Gender-affirming Phalloplasty: Analysis of a Large Statewide Population-based Dataset

Zhang TR, Harel D, Rivera A, Shahnawaz S, Qian Y, Berry C, Zhao LC, Radix A, Bluebond-Langner R, Mmonu NA

Urology · 2024

To evaluate the incidence of gender-affirming phalloplasty and postoperative complications in a large population-based dataset. Retrospective cohort study was done using the California Department of Health Care Access and Information datasets which include...

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...

Pilot Test of A Gender-conscious Sexual Health Intake Questionnaire: Increasing Inclusivity and Mitigating Bias in Sexual History Taking

Zhang TR, Castle E, Dubach-Reinhold C, Blasdel G, Kloer C, Alford A, Bluebond-Langner R, Zhao LC

Plastic and reconstructive surgery. Global open · 2024

Sexual health is critical to overall health, yet sexual history taking is challenging. LGBTQ+ patients face additional barriers due to cis/heteronormativity from the medical system. We aimed to develop and pilot test a novel sexual history questionnaire...

Transgender and Non-Binary Surgery Registry: Building a Patient-Focused Registry for Genital Gender Affirming Surgery

Dy GW, Blasdel G, Dugi D, Butler C, Hotaling JM, Myers JB, Goodwin I, Bluebond-Langner R, Zhao LC, Agarwal CA

Transgender health · 2024

High quality data regarding long-term clinical and patient-reported outcomes (PROs) of genital gender-affirming surgery (GGAS) are lacking, and transgender and non-binary (TGNB) community voices have not historically been included in research development....

Robotic Buccal Mucosa Graft Ureteroplasty: A Decade of Experience From a Multi-institutional Cohort

Chao BW, Raver M, Lin JS, Zhao K, Lee M, Gelman S, Stifelman M, Zhao LC, Eun DD

Urology · 2024

To characterize a large cohort of patients undergoing robotic buccal mucosa graft ureteroplasty (RU-BMG), determine the technique's durability, and assess the impact of patient- and disease-specific factors on outcomes. We conducted a retrospective review...

Technical Considerations and Outcomes for Panniculectomy in the Setting of Buried Penis Patients: A Systematic Review and Database Analysis

Barrow B, Laspro M, Brydges HT, Onuh O, Stead TS, Levine JP, Zhao LC, Chiu ES

Annals of plastic surgery · 2024

Often secondary to obesity, adult-acquired buried penis (AABP) is an increasingly common condition. AABP is often detrimental to urinary and sexual function, psychological well-being, and quality of life. Surgical treatment involves resection of excess...

Single-port robotic laparoscopic ureterocalicostomy: surgical technique and clinical outcomes

Xu AJ, Lin JS, Chen PY, Carbunaru S, Lee YS, Zhao LC

The Canadian journal of urology · 2024

We describe a method of robotic ureterocalicostomy (RALUC) with the Da Vinci Single Port (SP) platform and present clinical outcomes in our cohort of patients. We retrospectively reviewed all patients undergoing RALUC with the SP platform in a...

Preoperative Factors for Success of Robotic Ureteral Reconstruction for Distal Ureteral Strictures

Lee M, Zhao K, Chao B, Lee Z, Munver R, Ahmed M, Stifelman MD, Zhao LC, Eun DD, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

Journal of endourology · 2024

Introduction: To investigate preoperative predictors of surgical success for patients undergoing robotic ureteral reconstruction (RUR) for management of distal ureteral strictures. Methods: We retrospectively reviewed our multi-institutional Collaborative...

The Impact of Social Deprivation on Anterior Urethral Stricture Recurrence After Urethroplasty: A Trauma and Urologic Reconstructive Network of Surgeons Analysis

Patel HV, Li KD, Rourke KF, Smith TG, Voelzke BB, Myers JB, Broghammer JA, Alsikafi NF, Buckley JC, Zhao LC, Elliott SP, Vanni AJ, Peterson AC, Erickson BA, Breyer BN

The Journal of urology · 2024

Several factors influence recurrence after urethral stricture repair. The impact of socioeconomic factors on stricture recurrence after urethroplasty is poorly understood. This study aims to assess the impact that social deprivation, an area-level measure...

The Greatest Challenges after Gender-Affirming Vaginoplasty: A Qualitative Analysis

Blasdel G, Kloer C, Zarchen N, Bassale S, Zhao LC, Bluebond-Langner R, Dy GW

Transgender health · 2024

Gender-affirming vaginoplasty can involve profound postoperative challenges related to the typical healing process and potential complications. We present a qualitative analysis of the greatest challenges that individuals experience after vaginoplasty with...

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...

Mending the Gap: AlloDerm as a Safe and Effective Option for Vaginal Canal Lining in Revision Robotic Assisted Gender Affirming Peritoneal Flap Vaginoplasty

Parker A, Brydges H, Blasdel G, Bluebond-Langner R, Zhao LC

Urology · 2023

To address instances when there is insufficient remnant tissue to perform revision following canal-deepening gender affirming vaginoplasty revisions as indicated by insufficient depth. Options for lining of the vaginal canal include skin grafts, peritoneal...

Robotic ureteral reconstruction for recurrent strictures after prior failed management

Lee M, Lee Z, Houston N, Strauss D, Lee R, Asghar AM, Corse T, Zhao LC, Stifelman MD, Eun DD, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

BJUI compass · 2023

To describe our multi-institutional experience with robotic ureteral reconstruction (RUR) in patients who failed prior endoscopic and/or surgical management. We retrospectively reviewed our Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)...

Does Genital Self-image Correspond with Sexual Health before and after Vaginoplasty?

Kloer C, Blasdel G, Shakir N, Parker A, Itzel Gómez A, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery. Global open · 2023

Patient-reported outcomes regarding sexual health are lacking or have not been validated for transgender patients following vaginoplasty. The aim of this study is to further characterize the difference in sexual health, genital self-image, and the...

Anterolateral Thigh Phalloplasty With Staged Skin Graft Urethroplasty: Technique and Outcomes

Robinson I, Chao BW, Blasdel G, Levine JP, Bluebond-Langner R, Zhao LC

Urology · 2023

1) To describe the authors' technique of anterolateral thigh (ALT) phalloplasty with staged skin graft urethroplasty and 2) to report the surgical outcomes and complications of this technique in a preliminary patient cohort. Following IRB (Institutional...

A Multi-Institutional Experience Utilizing Boari Flap in Robotic Urinary Reconstruction

Corse TD, Dayan L, Cheng N, Brown A, Krishnan N, Mishra K, Sanchez De La Rosa R, Ahmed M, Lovallo G, Eun DD, Zhao LC, Stifelman MD

Journal of endourology · 2023

Objectives: There is presently scarce literature describing the outcomes of patients undergoing robotic ureteral reconstruction (RUR) using the Boari flap (BF) technique. Herein, we report our prospective, multi-institutional experience using BF in...

Operative Management of Complications Following Intestinal Vaginoplasty: A Case Series and Systematic Review

Robinson IS, Cripps CN, Bluebond-Langner R, Zhao LC

Urology · 2023

To describe the authors' experience with surgical management of complications following intestinal vaginoplasty and review the literature on incidence of complications following gender-affirming intestinal vaginoplasty. Retrospective chart review...

Clinical Validation of an Adult-acquired Buried Penis Classification System Based on Standardized Evaluation of the Penis, Abdomen, and Scrotum

Schlaepfer CH, Flynn KJ, Alsikafi NF, Breyer BN, Broghammer JA, Buckley JC, Elliott SP, Myers JB, Vanni AJ, Voelzke BB, Zhao LC, Erickson BA

Urology · 2023

To clinically validate a previously developed adult-acquired buried penis (AABP) classification system that is based on a standardized preoperative physical examination that subtypes patients by their penile skin/escutcheon complex (P), abdominal pannus...

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...

Outcomes of Urethroplasty for Synchronous Anterior Urethral Stricture Utilizing the Trauma and Urologic Reconstruction Network of Surgeons Length, Segment and Etiology Anterior Urethral Stricture Classification System

Jamil ML, Hamsa A, Grove S, Cho EY, Alsikafi NF, Breyer BN, Broghammer JA, Buckley JC, Elliott SP, Erickson BA, Myers JB, Peterson AC, Rourke KF, Voelzke BB, Zhao LC, Vanni AJ

Urology · 2023

To describe the characteristics, management, and functional outcomes of patients with synchronous urethral stricture disease (SUSD) utilizing a multi-institutional cohort. Data were collected and assessed from a prospectively maintained,...

Preoperative Predictors of Surgical Success for Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures

Lee M, Zhao K, Lee R, Lee Z, Raver M, Nguyen J, Munver R, Ahmed M, Stifelman MD, Zhao LC, Eun DD, Collaborative Of Reconstructive Robotic Ureteral Surgery Corrus

Urology · 2023

To investigate predictors of surgical success for patients undergoing robotic ureteral reconstruction (RUR) for ureteropelvic junction obstruction (UPJO), proximal, and middle ureteral stricture disease. We retrospectively reviewed our multi-institutional...

Urinary Reconstruction in Genital Gender-Affirming Surgery: Checking Our Surgical Complication Blind Spots

Blasdel G, Dy GW, Nikolavsky D, Ferrando CA, Bluebond-Langner R, Zhao LC

Plastic and reconstructive surgery · 2023

Urologic complications in genital gender-affirming surgery are imperfectly measured, with existing evidence limited by "blind spots" that will not be resolved through implementation of patient-reported outcomes alone. Some blind spots are expected in a...

Gender-Affirming Surgery in Adolescents and Young Adults: A Review of Ethical and Surgical Considerations

Robinson IS, Carswell JM, Boskey E, Agarwal CA, Brassard P, Bélanger M, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2023

The number of transgender adolescents seeking gender-affirming surgery (GAS) in increasing. Surgical care of the adolescent transgender patient is associated with several unique technical, legal, and ethical factors. The authors present a review of the...

Preoperative stricture length measurement does not predict postoperative outcomes in robotic ureteral reconstructive surgery

Zhang TR, Mishra K, Blasdel G, Alford A, Stifelman M, Eun D, Zhao LC

World journal of urology · 2023

We sought to determine whether preoperative stricture length measurement affected the choice of procedure performed, its correlation to intraoperative stricture length, and postoperative outcomes. The Collaborative of Reconstructive Robotic Ureteral...

Perioperative Hormone Management in Gender-Affirming Mastectomy: Is Stopping Testosterone before Top Surgery Really Necessary?

Robinson IS, Rifkin WJ, Kloer C, Parker A, Blasdel G, Shakir N, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2022

Gender-affirming mastectomy, or "top surgery," has become one of the most frequently performed procedures for transgender and nonbinary patients. However, management of perioperative testosterone therapy remains controversial. Despite a lack of supporting...

Genital Hypoplasia before Gender-Affirming Vaginoplasty: Does the Robotic Peritoneal Flap Method Create Equivalent Vaginal Canal Outcomes?

Blasdel G, Kloer C, Parker A, Shakir N, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2022

Insufficient genital tissue has been reported as a barrier to achieving depth in gender-affirming vaginoplasty. The authors sought to characterize vaginal depth and revision outcomes in patients with genital hypoplasia undergoing robotic peritoneal flap...

External Genital Revisions after Gender-Affirming Penile Inversion Vaginoplasty: Surgical Assessment, Techniques, and Outcomes

Dy GW, Salibian AA, Blasdel G, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2022

Following gender-affirming penile inversion vaginoplasty or vulvoplasty, patients may seek vulvar revision procedures for a variety of common aesthetic and functional concerns. These indications for revision and accompanying techniques are not...

Robotic deep inferior epigastric perforator flap harvest in breast reconstruction

Daar DA, Anzai LM, Vranis NM, Schulster ML, Frey JD, Jun M, Zhao LC, Levine JP

Microsurgery · 2022

Reducing donor site morbidity after deep inferior epigastric artery perforator (DIEP) flap harvest relies mainly upon maintaining integrity of the anterior rectus sheath fascia. The purpose of this study is to describe our minimally-invasive technique for...

The Management of Intra-abdominal Complications Following Peritoneal Flap Vaginoplasty

Robinson IS, Blasdel G, Bluebond-Langner R, Zhao LC

Urology · 2022

To describe the authors' experience diagnosing and managing intra-abdominal complications following robotic peritoneal flap vaginoplasty. The peritoneal flap vaginoplasty is a technique used to achieve consistent vaginal depth regardless of available natal...

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...

Defining Success after Anterior Urethroplasty: An Argument for a Universal Definition and Surveillance Protocol

Anderson KT, Vanni AJ, Erickson BA, Myers JB, Voelzke B, Breyer BN, Broghammer JA, Buckley JC, Zhao LC, Smith TG, Alsikafi NF, Rourke KF, Elliott SP

The Journal of urology · 2022

A successful urethroplasty has been defined in different ways across studies. This variety in the literature makes it difficult to compare success rates and techniques across studies. We aim to evaluate the success of anterior urethroplasty based on...

Familiar Infections in Novel Anatomy: Patient Reports of Sexually Transmitted Infections After Gender-Affirming Penile Reconstruction

Blasdel G, Robinson I, Parker A, Zhao LC, Bluebond-Langner R

Sexually transmitted diseases · 2022

Sexually transmitted infections (STIs) after penile reconstruction in transgender, nonbinary, and other gender expansive (T/GE) populations have not previously been described, despite known risk factors in the population. After T/GE penile reconstruction,...

Gender-affirming Phalloplasty: A Postoperative Protocol for Success

Rifkin WJ, Daar DA, Cripps CN, Mars G, Zhao LC, Levine JP, Bluebond-Langner R

Plastic and reconstructive surgery. Global open · 2022

Increased access to care and insurance coverage has led to an increase in gender-affirming surgeries performed in the United States. Gender-affirming phalloplasty has a variety of donor sites and surgical techniques including both pedicled and free flaps....

Gender-affirming Mastectomy: Comparison of Periareolar and Double Incision Patterns

Rifkin WJ, Robinson IS, Kloer C, Cripps CN, Boyd CJ, Blasdel G, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery. Global open · 2022

Gender-affirming mastectomy has become one of the most frequently performed procedures for transgender and nonbinary patients. Although there are a variety of potential surgical approaches available, the impact of technique on outcomes remains unclear....

Recommendations for Communication in Gender-Affirming Surgical Care

Blasdel G, Parker AC, Salibian A, Robinson I, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2022

The surgical treatment of gender incongruence with gender-affirming surgery requires a sophisticated understanding of the substantial diversity in patient expectations and desired outcomes. There are patients with gender incongruence who desire surgical...

Minimizing Antibiotic Use in Urethral Reconstruction

Kim S, Cheng KC, Alsikafi NF, Breyer BN, Broghammer JA, Elliott SP, Erickson BA, Myers JB, Smith TG, Vanni AJ, Voelzke BB, Zhao LC, Buckley JC

The Journal of urology · 2022

There are no established guidelines regarding management of antibiotics for patients specifically undergoing urethral reconstruction. Our aim was to minimize antibiotic use by following a standardized protocol in the pre-, peri- and postoperative setting,...

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...

Coming Soon: Ability to Orgasm After Gender Affirming Vaginoplasty

Blasdel G, Kloer C, Parker A, Castle E, Bluebond-Langner R, Zhao LC

The journal of sexual medicine · 2022

Many patients have goals related to sexual health when seeking gender-affirming vaginoplasty, and previous investigations have only studied the ability to orgasm at cross-sectional timepoints. Our aim is to quantify the time to orgasm postoperative...

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...

Robotic-assisted Vaginectomy During Staged Gender-affirming Penile Reconstruction Surgery: Technique and Outcomes

Jun MS, Shakir NA, Blasdel G, Cohen O, Levine JP, Bluebond-Langner R, Zhao LC

Urology · 2021

To report our novel technique and mid-term follow-up for robotic-assisted laparoscopic vaginectomy (RALV), a component procedure of staged gender-affirming penile reconstructive surgery. The records of patients seeking gender-affirming penile...

Ureteral Rest is Associated With Improved Outcomes in Patients Undergoing Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures

Lee Z, Lee M, Lee R, Koster H, Cheng N, Siev M, Jun M, Munver R, Ahmed M, Zhao LC, Stifelman MD, Eun DD, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

Urology · 2021

To evaluate the effect of ureteral rest on outcomes of robotic ureteral reconstruction. We retrospectively reviewed all patients who underwent robotic ureteral reconstruction of proximal and/or middle ureteral strictures in our multi-institutional database...

Surgical Outcomes Following Gender Affirming Penile Reconstruction: Patient-Reported Outcomes From a Multi-Center, International Survey of 129 Transmasculine Patients

Robinson IS, Blasdel G, Cohen O, Zhao LC, Bluebond-Langner R

The journal of sexual medicine · 2021

Current literature on surgical outcomes after gender affirming genital surgery is limited by small sample sizes from single-center studies. To use a community-based participatory research model to survey a large, heterogeneous cohort of transmasculine...

Robotic Peritoneal Flap Revision of Gender Affirming Vaginoplasty: a Novel Technique for Treating Neovaginal Stenosis

Dy GW, Blasdel G, Shakir NA, Bluebond-Langner R, Zhao LC

Urology · 2021

To present the technique and early outcomes of salvage neovaginal reconstruction using robotic dissection and peritoneal flap mobilization. Twenty-four patients underwent robotic peritoneal flap revision vaginoplasty from 2017 to 2020. A canal is dissected...

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....

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 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...

Dorsal Onlay Oral Mucosa Graft Urethroplasty for Female Urethral Stricture

Richard C, Peyronnet B, Drain A, Rosenblum N, Hascoet J, Sussman RD, Freton L, Zhao LC, Nitti VW, Brucker BM

Urology · 2021

To describe and assess the outcomes of dorsal onlay oral mucosa graft urethroplasty for female urethral stricture. We retrospectively reviewed the charts of all female patients who underwent dorsal onlay oral (buccal or lingual) mucosa urethroplasty for...

Urethroscopic Findings following Urethroplasty Predict the Need for Secondary Intervention in the Long Term: A Multi-Institutional Study from Trauma and Urologic Reconstructive Network of Surgeons

Amend GM, Nabavizadeh B, Hakam N, Voelzke BB, Smith TG, Erickson BA, Elliott SP, Alsikafi NF, Vanni AJ, Buckley JC, Zhao LC, Myers JB, Peterson AC, Rourke KF, Broghammer JA, Breyer BN

The Journal of urology · 2021

Postoperative surveillance urethroscopy has been shown to be an effective tool to predict reoperation within 1 year after urethroplasty. We aimed to evaluate early surveillance urethroscopy findings and long-term outcomes among urethroplasty patients in...

Vaginal Canal Reconstruction in Penile Inversion Vaginoplasty with Flaps, Peritoneum, or Skin Grafts: Where Is the Evidence?

Salibian AA, Schechter LS, Kuzon WM, Bouman MB, van der Sluis WB, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2021

To optimize neovaginal dimensions, several modifications of the traditional penile inversion vaginoplasty are described. Options for neovaginal lining include skin grafts, scrotal flaps, urethral flaps, and peritoneum. Implications of these techniques on...

The emerging role of robotics in upper and lower urinary tract reconstruction

Zhao CC, Shakir NA, Zhao LC

Current opinion in urology · 2021

Developments in robotic reconstructive urology have introduced novel treatments for complex upper and lower urinary tract disease. Short-term and mid-term data demonstrates excellent outcomes and minimal morbidity, suggesting the advanced instrumentation...

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...

A Multi-Institutional Experience With Robotic Ureteroplasty With Buccal Mucosa Graft: An Updated Analysis of Intermediate-Term Outcomes

Lee Z, Lee M, Koster H, Lee R, Cheng N, Jun M, Slawin J, Zhao LC, Stifelman MD, Eun DD, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

Urology · 2020

To update our prior multi-institutional experience with robotic ureteroplasty with buccal mucosa graft and analyze our intermediate-term outcomes. Although our previous multi-institutional report provided significant insight into the safety and efficacy...

Intermediate-term outcomes after robotic ureteral reconstruction for long-segment (≥4 centimeters) strictures in the proximal ureter: A multi-institutional experience

Lee M, Lee Z, Koster H, Jun M, Asghar AM, Lee R, Strauss D, Patel N, Kim D, Komaravolu S, Drain A, Metro MJ, Zhao L, Stifelman M, Eun DD, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

Investigative and clinical urology · 2020

To report our intermediate-term, multi-institutional experience after robotic ureteral reconstruction for the management of long-segment proximal ureteral strictures. We retrospectively reviewed our Collaborative of Reconstructive Robotic Ureteral Surgery...

Antibiotic Stewardship and Postoperative Infections in Urethroplasties

Kim S, Cheng KC, Patell S, Alsikafi NF, Breyer BN, Broghammer JA, Elliott SP, Erickson BA, Myers JB, Smith TG, Vanni AJ, Voelzke BB, Zhao LC, Buckley JC

Urology · 2020

To determine surgical site infection and urinary tract infection (UTI) rates in the setting of urethroplasty. Given significant variation in the utilization of antibiotics, there is an opportunity to improve antibiotic stewardship. This study aims to...

Propeller Flap Perineal Urethrostomy Revision

Schulster ML, Dy GW, Vranis NM, Jun MS, Shakir NA, Levine JP, Zhao LC

Urology · 2020

To describe a technique for perineal urethrostomy (PU) revision using a posterior thigh propeller flap for a complex repair at high risk for stenosis. Our technique utilizes the consistent posterior thigh perforators for a local flap with ideal length and...

Multi-institutional Experience Comparing Outcomes of Adult Patients Undergoing Secondary Versus Primary Robotic Pyeloplasty

Lee M, Lee Z, Strauss D, Jun MS, Koster H, Asghar AM, Lee R, Chao B, Cheng N, Ahmed M, Lovallo G, Munver R, Zhao LC, Stifelman MD, Eun DD, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

Urology · 2020

To describe surgical techniques and peri-operative outcomes with secondary robotic pyeloplasty (RP), and compare them to those of primary RP. We retrospectively reviewed our multi-institutional, collaborative of reconstructive robotic ureteral surgery...

Response to Letter to Editor: "Development and Validation of a Male Anterior Urethral Stricture Classification System"

Erickson BA, Flynn KJ, Hahn AE, Cotter K, Alsikafi NF, Breyer BN, Broghammer JA, Buckley JC, Elliott SP, Myers JB, Peterson AC, Rourke KF, Smith TG, Vanni AJ, Voelzke BB, Zhao LC, Trauma and Urologic Reconstruction Network of Surgeons (TURNS)

Urology · 2020

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...

Validating the Martini Staging System for Rectourethral Fistula: A Meta-Analysis of Postoperative Outcomes

Mishra K, Mahran A, Abboud B, Bukavina L, Elshafei A, Ray A, Fernstrum A, Abboud R, Elgammal M, Zhao LC, Gupta S

Urology · 2020

To validate the Martini staging system for postoperative rectourethral fistula (RUF) utilizing data from previous studies to determine whether it can accurately predict postoperative success rate. A systematic search of peer-reviewed studies was conducted...

Outcomes of Gender Affirming Peritoneal Flap Vaginoplasty Using the Da Vinci Single Port Versus Xi Robotic Systems

Dy GW, Jun MS, Blasdel G, Bluebond-Langner R, Zhao LC

European urology · 2020

Robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV) with the da Vinci Xi system has been reported to be a safe alternative to traditional penile inversion vaginoplasty. Utilizing the Single Port (SP) robot system, our surgical approach...

Development and Validation of A Male Anterior Urethral Stricture Classification System

Erickson BA, Flynn KJ, Hahn AE, Cotter K, Alsikafi NF, Breyer BN, Broghammer JA, Buckley JC, Elliott SP, Myers JB, Peterson AC, Rourke KF, Smith TG, Vanni AJ, Voelzke BB, Zhao LC, Trauma and Urologic Reconstruction Network of Surgeons (TURNS)

Urology · 2020

To develop and validate a clinical classification system for urethral stricture disease (USD) based on the retrograde urethrogram (RUG), physical exam, and stricture-specific patient history. Three elements were chosen to be included in the classification...

Robotically Assisted Omentum Flap Harvest: A Novel, Minimally Invasive Approach for Vascularized Lymph Node Transfer

Frey JD, Yu JW, Cohen SM, Zhao LC, Choi M, Levine JP

Plastic and reconstructive surgery. Global open · 2020

The omentum provides abundant lymphatic tissue with reliable vascular anatomy, representing an ideal donor for vascularized lymph node transfer without risk for donor site lymphedema. We describe a novel, robotically assisted approach for omental flap...

Robotic Excision of Vaginal Remnant/Urethral Diverticulum for Relief of Urinary Symptoms Following Phalloplasty in Transgender Men

Cohen OD, Dy GW, Nolan IT, Maffucci F, Bluebond-Langner R, Zhao LC

Urology · 2019

To describe the technique of robotic remnant vaginectomy/excision of urethral diverticulum in transmen and report postoperative outcomes. Between 2015 and 2018, 4 patients underwent robotic remnant vaginectomy/excision of urethral diverticulum for relief...

Presenting Complications to a Reconstructive Urologist After Masculinizing Genital Reconstructive Surgery

Dy GW, Granieri MA, Fu BC, Vanni AJ, Voelzke B, Rourke KF, Elliott SP, Nikolavsky D, Zhao LC

Urology · 2019

To evaluate the presenting complications of patients to reconstructive urologists after masculinizing gender affirming genital reconstructive surgery (GRS) performed elsewhere. We identified patients who underwent revision surgery by one of the co-authors...

Robotic transanal minimally invasive rectal mucosa harvest

Howard KN, Zhao LC, Weinberg AC, Granieri M, Bernstein MA, Grucela AL

Surgical endoscopy · 2019

Buccal mucosal grafts (BMG) are traditionally used in urethral reconstruction. There may be insufficient BMG for applications requiring large grafts, such as urethral stricture after gender-affirming phalloplasty. Rectal mucosa in lieu of BMG avoids oral...

Multicenter analysis of posterior urethroplasty complexity and outcomes following pelvic fracture urethral injury

Johnsen NV, Moses RA, Elliott SP, Vanni AJ, Baradaran N, Greear G, Smith TG, Granieri MA, Alsikafi NF, Erickson BA, Myers JB, Breyer BN, Buckley JC, Zhao LC, Voelzke BB, Trauma Urologic Reconstruction Network of Surgeons(TURNS)

World journal of urology · 2019

To analyze outcomes of posterior urethroplasty following pelvic fracture urethral injuries (PFUI) and to determine risk factors for surgical complexity and success. Patients who underwent posterior urethroplasty following PFUI were identified in the Trauma...

Trends in Urethral Stricture Disease Etiology and Urethroplasty Technique From a Multi-institutional Surgical Outcomes Research Group

Cotter KJ, Hahn AE, Voelzke BB, Myers JB, Smith TG, Elliott SP, Alsikafi NF, Breyer BN, Vanni AJ, Buckley JC, Zhao LC, Broghammer JA, Erickson BA, Trauma and Urologic Reconstruction Network of Surgeons (TURNS)

Urology · 2019

To analyze contemporary urethroplasty trends and urethral stricture etiologies over a 7-year study period among urologists from a large multi-institutional surgical outcomes group. Review of a multi-institutional, prospectively maintained urethroplasty...

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...

Clinical significance of cystoscopic urethral stricture recurrence after anterior urethroplasty: a multi-institution analysis from Trauma and Urologic Reconstructive Network of Surgeons (TURNS)

Baradaran N, Fergus KB, Moses RA, Patel DP, Gaither TW, Voelzke BB, Smith TG, Erickson BA, Elliott SP, Alsikafi NF, Vanni AJ, Buckley J, Zhao LC, Myers JB, Breyer BN

World journal of urology · 2019

To assess the functional Queryoutcome of patients with cystoscopic recurrence of stricture post-urethroplasty and to evaluate the role of cystoscopy as initial screening tool to predict future failure. Cases with cystoscopy data after anterior...

Development of novel prognostic models for predicting complications of urethroplasty

Armstrong BN, Renson A, Zhao LC, Bjurlin MA

World journal of urology · 2018

To identify predictors of thirty-day perioperative complications after urethroplasty and create a model to predict patients at increased risk. We selected all patients recorded in the National Surgery Quality Improvement Program (NSQIP) from 2005 to 2015...

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...

Evaluation of Generic Versus Condition-Specific Quality of Life Indicators for Successful Urethral Stricture Surgery

Chung PH, Vanni AJ, Breyer BN, Erickson BA, Myers JB, Alsikafi N, Buckley J, Elliott SP, Zhao LC, Voelzke BB, Trauma and Urologic Reconstructive Network of Surgeons (TURNS)

Urology · 2018

To compare the utility of generic health quality of life (QOL) and condition specific indicators as patient reported outcomes measures for urethral stricture surgery. Patient data were obtained from the Trauma and Urologic Reconstructive Network of...

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...

Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty

Cotter KJ, Flynn KJ, Hahn AE, Voelzke BB, Myers JB, Smith TG, Elliott SP, Alsikafi NF, Breyer BN, Vanni AJ, Buckley JC, Zhao LC, Erickson BA

The Journal of urology · 2018

In this study we aimed to define the prevalence of preoperative and postoperative post-micturition incontinence or post-void dribbling after anterior urethroplasty for urethral stricture disease. We also sought to determine risk factors for its presence....

Reconstructive Management Pearls for the Transgender Patient

Dy GW, Sun J, Granieri MA, Zhao LC

Current urology reports · 2018

A growing number of transgender patients are seeking gender-affirming genital reconstructive surgery (GRS). These complex procedures have high complication rates. We describe common surgical pitfalls in GRS and approaches for minimizing complications....

Robotic-assisted laparoscopic repair of ureteral injury: an evidence-based review of techniques and outcomes

Tracey AT, Eun DD, Stifelman MD, Hemal AK, Stein RJ, Mottrie A, Cadeddu JA, Stolzenburg JU, Berger AK, Buffi N, Zhao LC, Lee Z, Hampton L, Porpiglia F, Autorino R

Minerva urologica e nefrologica = The Italian journal of urology and nephrology · 2018

Iatrogenic ureteral injuries represent a common surgical problem encountered by practicing urologists. With the rapidly expanding applications of robotic-assisted laparoscopic surgery, ureteral reconstruction has been an important field of recent...

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...

Robotic Ureteral Reconstruction Using Buccal Mucosa Grafts: A Multi-institutional Experience

Zhao LC, Weinberg AC, Lee Z, Ferretti MJ, Koo HP, Metro MJ, Eun DD, Stifelman MD

European urology · 2017

Minimally invasive treatment of long, multifocal ureteral strictures or failed pyeloplasty is challenging. Robot-assisted buccal mucosa graft ureteroplasty (RBU) is a technique for ureteral reconstruction that avoids the morbidity of bowel interposition or...

Burden of Disease for Urethral Stricture Managed by Repeat Endoscopic Treatment vs Single Endoscopic Treatment or Urethroplasty in the Veterans Affairs Population

Rude TL, Khurana K, Yamaguchi Y, Walter D, Makarov D, Zhao LC

Urology practice · 2017

Male urethral stricture disease is a challenging urological condition that affects nearly a third of men 65 years old or older. Management options include dilation and urethrotomy as well as urethroplasty, an open approach with increased morbidity and...

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...

Decision Analysis Model Comparing Cost of Management Strategies for Pelvic Fracture Urethral Injuries

Tausch TJ, Lotan Y, Zhao L, Morey AF

Urology practice · 2016

We compare the costs associated with primary endoscopic realignment vs delayed elective bulbomembranous anastomotic urethroplasty after initial management of pelvic fracture urethral injuries with suprapubic tubes. Decision analysis was performed comparing...

Male Urethral Stricture: American Urological Association Guideline

Wessells H, Angermeier KW, Elliott S, Gonzalez CM, Kodama R, Peterson AC, Reston J, Rourke K, Stoffel JT, Vanni AJ, Voelzke BB, Zhao L, Santucci RA

The Journal of urology · 2016

The purpose of this Guideline is to provide a clinical framework for the diagnosis and treatment of male urethral stricture. A systematic review of the literature using the Pubmed, Embase, and Cochrane databases (search dates 1/1/1990 to 12/1/2015) was...

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...

Guideline of guidelines: a review of urological trauma guidelines

Bryk DJ, Zhao LC

BJU international · 2015

To review the guidelines released in the last decade by several organisations for the optimal evaluation and management of genitourinary injuries (renal, ureteric, bladder, urethral and genital). This is a review of the genitourinary trauma guidelines from...

Tissue transfer techniques in reconstructive urology

Bryk DJ, Yamaguchi Y, Zhao LC

Korean journal of urology · 2015

Tissue transfer techniques are an essential part of the reconstructive urologist's armamentarium. Flaps and graft techniques are widely used in genital and urethral reconstruction. A graft is tissue that is moved from a donor site to a recipient site...

The cost of surveillance after urethroplasty

Zaid UB, Hawkins M, Wilson L, Ting J, Harris C, Alwaal A, Zhao LC, Morey AF, Breyer BN

Urology · 2015

To determine variability in urethral stricture surveillance. Urethral strictures impact quality of life and exact a large economic burden. Although urethroplasty is the gold standard for durable treatment, strictures recur in 8%-18%. There are no...

A contemporary analysis of Fournier gangrene using the National Surgical Quality Improvement Program

Kim SY, Dupree JM, Le BV, Kim DY, Zhao LC, Kundu SD

Urology · 2015

To determine a nationwide contemporary description of surgical Fournier gangrene (FG) and necrotizing fasciitis of the genitalia (NFG) outcomes because historically reported mortality rates for FG and NFG are based on small single-institution studies from...

Outcomes of robotic-assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients

Marien T, Bjurlin MA, Wynia B, Bilbily M, Rao G, Zhao LC, Shah O, Stifelman MD

BJU international · 2015

To evaluate the long-term outcomes of robotic-assisted laparoscopic (RAL) upper urinary tract (UUT) reconstruction performed at a tertiary referral centre. Data from 250 consecutive patients undergoing RAL UUT reconstruction, including pyeloplasty with or...

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...

Safety of the "drain and retain" option for defunctionalized urologic prosthetic balloons and reservoirs during artificial urinary sphincter and inflatable penile prosthesis revision surgery: 5-year experience

Cefalu CA, Deng X, Zhao LC, Scott JF, Mehta S, Morey AF

Urology · 2013

To present our 5-year experience using a "drain and retain" option, in which existing urologic prosthetic balloons and reservoirs (UPBR) were emptied but not removed during routine artificial urinary sphincter (AUS)/inflatable penile prosthesis (IPP)...

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...

Poor quality of life in patients with urethral stricture treated with intermittent self-dilation

Lubahn JD, Zhao LC, Scott JF, Hudak SJ, Chee J, Terlecki R, Breyer B, Morey AF

The Journal of urology · 2013

We assessed patient perceptions of regular intermittent self-dilation in men with urethral stricture. We constructed and distributed a visual analog questionnaire to evaluate intermittent self-dilation via catheterization by men referred for urethral...

Transcorporal artificial urinary sphincter cuff placement is associated with a higher risk of postoperative urinary retention

Smith PJ, Hudak SJ, Scott JF, Zhao LC, Morey AF

The Canadian journal of urology · 2013

To explore the association of artificial urinary sphincter (AUS) cuff sizes and placement techniques with the development of postoperative urinary retention. We analyzed the outcomes of AUS cases performed by a single surgeon at a tertiary referral center...

Cost-effectiveness of risk stratified followup after urethral reconstruction: a decision analysis

Belsante MJ, Zhao LC, Hudak SJ, Lotan Y, Morey AF

The Journal of urology · 2013

We propose a novel risk stratified followup protocol for use after urethroplasty and explore potential cost savings. Decision analysis was performed comparing a symptom based, risk stratified protocol for patients undergoing excision and primary...

Nationwide emergency department visits for priapism in the United States

Stein DM, Flum AS, Cashy J, Zhao LC, McVary KT

The journal of sexual medicine · 2013

The epidemiology of priapism is not well characterized. A small number of studies based on inpatient data or small population samples have estimated the incidence to range from 0.34 to 1.5 cases per 100,000 males. To estimate the current epidemiology and...

Clinical characteristics and surgical outcomes of penetrating external genital injuries

Bjurlin MA, Kim DY, Zhao LC, Palmer CJ, Cohn MR, Vidal PP, Bokhari F, Hollowell CM

The journal of trauma and acute care surgery · 2013

Penetrating external genital injuries, although uncommon, may present complex problems for the urologic and trauma surgeon. A paucity of data exists on the incidence, clinical characteristics, and management outcomes of these injuries because few...

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...

Presenting symptoms of anterior urethral stricture disease: a disease specific, patient reported questionnaire to measure outcomes

Nuss GR, Granieri MA, Zhao LC, Thum DJ, Gonzalez CM

The Journal of urology · 2011

We evaluated the spectrum of symptoms in men with urethral stricture presenting for urethroplasty. We identified 214 men who underwent anterior urethroplasty by a single surgeon (CMG) from March 2001 to June 2010. We retrospectively reviewed the initial...

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...

Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care

Zhao LC, Lautz TB, Meeks JJ, Maizels M

The Journal of urology · 2011

Testicular torsion causes considerable morbidity in the pediatric population but the societal burden is poorly quantified. We determined the modern incidence of testicular torsion as well as the current rates of orchiectomy and attempted testicular...

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...

Computed tomography-determined stone-free rates for ureteroscopy of upper-tract stones

Macejko A, Okotie OT, Zhao LC, Liu J, Perry K, Nadler RB

Journal of endourology · 2009

Most series on ureteroscopy for urolithiasis use postoperative plain radiography of the kidneys, ureters, and bladder (KUB) or intravenous urography (IVU) to determine outcomes. These imaging modalities, however, are not very sensitive and may overestimate...

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...

Urethral reconstruction in patients with neurogenic bladder dysfunction

Casey JT, Erickson BA, Navai N, Zhao LC, Meeks JJ, Gonzalez CM

The Journal of urology · 2008

There is limited literature examining urethral reconstruction in patients with neurogenic bladder dysfunction. We describe our experience of urethral reconstruction in men with concurrent neurogenic bladder. A prospectively maintained database of all...