All topics

122 publications

Robotic & Single-Port

Robotic and single-port surgical technique papers spanning upper urinary tract reconstruction, gender-affirming surgery, minimally invasive reconstructive approaches, and adoption of new platforms.

Representative Work

All Robotic & Single-Port 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...

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...

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...

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...

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 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...

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...

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)...

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...

Single-port robotic-assisted ureteral reconstruction for management of strictures after renal transplantation

Chen B, Alford AV, Lonze BE, Zhao LC

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023

Ureteral strictures are a common and often challenging complication of renal transplantation. The use of single-port (SP) robotic-assisted laparoscopic surgery is a novel approach in the management of these patients. Here we describe 3 patients with...

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...

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...

Robotics in Gender Affirming Surgery: Current Applications and Future Directions

Robinson IS, Zhao LC, Bluebond-Langner R

Seminars in plastic surgery · 2023

Genital surgery for the treatment of gender dysphoria has undergone significant evolution since its inception in the first half of the 20th century. Robotic approaches to the pelvis allow for improved visualization and reduced abdominal wall morbidity,...

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...

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...

Buccal Mucosal Ureteroplasty for the Management of Ureteral Strictures: Patient Selection and Considerations

Gonzalez AN, Mishra K, Zhao LC

Research and reports in urology · 2022

The landscape for upper genitourinary tract reconstruction continues to evolve with innovations in technology and surgical techniques. While the use of flaps and grafts in reconstructive surgery is not a novel concept, the application of buccal mucosal...

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...

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...

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....

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...

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...

A Multi-Institutional Experience With Robotic Appendiceal Ureteroplasty

Jun MS, Stair S, Xu A, Lee Z, Asghar AM, Strauss D, Stifelman MD, Eun D, Zhao LC, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS)

Urology · 2020

To report a multi-institutional experience with robotic appendiceal ureteroplasty. This is a retrospective review of 13 patients undergoing right appendiceal flap ureteroplasty at 2 institutions between April 2016 and October 2019. The primary endpoint was...

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...

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...

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...

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...

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...

Robotic Davydov Peritoneal Flap Vaginoplasty for Augmentation of Vaginal Depth in Feminizing Vaginoplasty

Jacoby A, Maliha S, Granieri MA, Cohen O, Dy GW, Bluebond-Langner R, Zhao LC

The Journal of urology · 2019

Penile inversion vaginoplasty is the most common procedure for genital reconstruction in transwomen. While penile inversion vaginoplasty usually provides an excellent aesthetic result, the technique may be complicated by vaginal stenosis and inadequate...

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...

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...

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...

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...

Robot-Assisted Ureteral Reconstruction Using Buccal Mucosa

Zhao LC, Yamaguchi Y, Bryk DJ, Adelstein SA, Stifelman MD

Urology · 2015

To describe the technique of robotic buccal mucosa graft ureteroplasty as a minimally invasive alternative method of ureteral reconstruction for proximal or multifocal ureteral strictures not amenable to primary anastomosis. Between October 2013 and May...

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...

Completely intracorporeal robotic-assisted laparoscopic augmentation enterocystoplasty with continent catheterizable channel

Flum AS, Zhao LC, Kielb SJ, Wilson EB, Shu T, Hairston JC

Urology · 2014

To report our results from series of robotic-assisted laparoscopic augmentation enterocystoplasty (RALAE) performed in a completely intracorporeal fashion. Patients who underwent RALAE with or without the creation of a catheterizable channel between 2006...

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...

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...

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...

Percutaneous radiofrequency ablation-induced perinephric hematoma with acute renal failure in a solitary kidney

Zhao LC, Chan SW, Macejko AM, Lin WW

Journal of endourology · 2008

Iatrogenic occurrences (including radiologically guided renal biopsy, shockwave lithotripsy, and minimally invasive ablative procedures) of subcapsular hematoma that lead to acute renal failure are rare but serious. The advancement of minimally invasive...

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...

Thoracic complications of urologic laparoscopy: correlation between radiographic findings and clinical manifestations

Zhao LC, Han JS, Loeb S, Tenggardjaja C, Rubenstein RA, Smith ND, Nadler RB

Journal of endourology · 2008

The usefulness of plain film chest radiography (CXR) in evaluation for thoracic complications after laparoscopic urologic procedures is uncertain. Our objectives were to examine the association between radiographic findings and clinical manifestations of...