All topics

65 publications

Ureteral Reconstruction

Robotic and open approaches to ureteral strictures, buccal mucosa graft ureteroplasty, ileal ureter replacement, ureteral reimplantation, pyeloplasty failure, and complex upper urinary tract reconstruction.

Representative Work

All Ureteral Reconstruction Publications

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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-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...

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...

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...

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...

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...