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2022 Publications

21 publications in this year archive.

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...

Heineke-Mikulicz Preputioplasty: Surgical Technique and Outcomes

Xu AJ, Mishra K, Zhao LC

Urology · 2022

To provide a summary of surgical technique and outcomes for Heineke-Mikulicz preputioplasty (HMP), a foreskin-preserving surgical treatment for phimosis in the adult population. We retrospectively reviewed 7 patients who underwent HMP by a single surgeon...

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....

The Lived Experience of Patients with Adult Acquired Buried Penis

Amend GM, Holler JT, Sadighian MJ, Rios N, Hakam N, Nabavizadeh B, Enriquez A, Shaw N, Vanni AJ, Zhao L, Erickson BA, Buckley JC, Breyer BN

Journal of Urology · 2022

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,...

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...

AUTHOR REPLY

Liu W, Shakir N, Zhao LC

Urology · 2022

Patient reported outcomes in genital gender-affirming surgery: the time is now

Agochukwu-Mmonu N, Radix A, Zhao L, Makarov D, Bluebond-Langner R, Fendrick AM, Castle E, Berry C

Journal of Patient-Reported Outcomes · 2022

Discussion: Common Revisions after Penile Inversion Vaginoplasty: Techniques and Clinical Outcomes

Shakir NA, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2022

Reply by Authors

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

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...