139 publications
Urethral stricture disease, anterior and posterior urethroplasty, pelvic fracture urethral injury, treatment success definitions, staging systems, and reconstructive outcomes.
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...
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...
World journal of urology · 2026
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...
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...
European urology · 2025
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...
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...
International journal of transgender health · 2025
Most transgender women have their prostate left in situ throughout and after their transition. Managing prostate‑related conditions in transgender women remains challenging due to the lack of clear recommendations. This review aims to summarize the...
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...
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...
World Journal of Urology · 2025
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...
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...
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...
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...
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 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...
Urology · 2024
Urology · 2024
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...
Urology Video Journal · 2023
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)...
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...
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...
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...
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...
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,...
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...
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...
Current Surgery Reports · 2023
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...
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...
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...
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...
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,...
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,...
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...
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...
Journal of Endourology · 2021
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...
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...
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...
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...
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....
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...
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...
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 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...
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...
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...
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...
Techniques of Robotic Urinary Tract Reconstruction: A Complete Approach · 2021
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...
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...
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...
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...
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...
The Urologic clinics of North America · 2020
Robotically assisted laparoscopic techniques may be used for proximal and distal ureteral strictures. Distal strictures may be approached with ureteroneocystotomy, psoas hitch, and Boari flap. Ureteroureterostomy, buccal mucosa graft ureteroplasty, and...
BMC Urology · 2020
Plastic and Reconstructive Surgery · 2020
Journal of Endourology · 2020
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...
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...
Urology · 2020
Urology Video Journal · 2020
European Urology Open Science · 2020
Reviews in urology · 2020
Urology · 2020
Urology · 2020
Urology · 2020
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...
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...
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...
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie · 2020
Gender Confirmation Surgery: Principles and Techniques for an Emerging Field · 2019
Textbook of Male Genitourethral Reconstruction · 2019
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...
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...
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...
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...
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...
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...
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...
Urology · 2018
Canadian Journal of Urology · 2018
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...
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...
Reviews in urology · 2018
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...
Clinics in plastic surgery · 2018
In the past decade, issues facing transgender individuals have come to the forefront of popular culture, political discourse, and medical study. The evaluating physician should have knowledge of the reconstructed anatomy, as well as potential postoperative...
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...
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....
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....
Reviews in Urology · 2017
Atlas of Laparoscopic and Robotic Urologic Surgery, 3rd Ed · 2017
European Urology · 2017
Urology · 2017
Journal of Urology · 2017
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...
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...
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...
The Urologic clinics of North America · 2017
The Urologic clinics of North America · 2017
In recent years, the issues of the transgender population have become more visible in the media worldwide. Transgender patients at various stages of their transformation will present to urologic clinics requiring general or specialized urologic care....
Journal of Urology · 2016
Urinary Dysfunction in Prostate Cancer · 2016
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...
European urology · 2016
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...
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...
Urology · 2016
To describe the technique of ultrasound urethrogram (USUG) for the diagnosis of anterior urethral stricture performed in an ambulatory setting without any adjunctive imaging. Between September 2013 and September 2015, 35 consecutive adult men (>18 years...
The 5-Minute Urology Consult, 3rd Ed · 2015
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...
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...
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...
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...
Journal of Urology · 2014
Journal of Urology · 2014
Journal of Urology · 2014
AUA Update Series · 2014
AUA Update Series · 2014
Journal of Urology · 2013
Urology · 2013
Advanced Male Urethral and Genital Reconstructive Surgery · 2013
2013
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...
Urology · 2013
To evaluate the relative risk of prolonged urethral catheterization (PC), >48 hours, on artificial urinary sphincter (AUS) cuff erosion in a tertiary referral population. All men who had undergone AUS implantation or revision by multiple surgeons at our...
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...
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...
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...
The Urologic clinics of North America · 2013
Reoperative urethroplasty is complicated by increased urethral and periurethral scar and the frequent persistence of comorbid conditions that caused the original failure. Nevertheless, by experienced clinicians, reoperative urethral reconstruction can be...
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...
Journal of Urology · 2012
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...
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...
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...
International braz j urol : official journal of the Brazilian Society of Urology · 2008
We present a single institutional experience over 6 years of intra and postoperative complications following urethral reconstructive surgery, and the impact of these complications on overall results. From June 2000 through May 2006, 153 consecutive...
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...
Journal of Urological Surgery