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2023 Publications

28 publications in this year archive.

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...

PATIO repair for treatment of urethrocutaneous fistula: Updated technique and outcomes in a diverse adult population

Xu AJ, Stair SL, Kirtishri Mishra K, Agocs C, Zhao LC

Urology Video Journal · 2023

Robotic ureteral reconstruction for recurrent strictures after prior failed management

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

BJUI compass · 2023

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

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

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

Plastic and reconstructive surgery. Global open · 2023

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

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

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

Urology · 2023

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

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

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

Journal of endourology · 2023

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

Gender-Affirming Vaginoplasty: A Comparison of Algorithms, Surgical Techniques and Management Practices across 17 High-volume Centers in North America and Europe

Coon D, Morrison SD, Morris MP, Keller P, Bluebond-Langner R, Bowers M, Brassard P, Buncamper ME, Dugi D 3rd, Ferrando C, Gast KM, McGinn C, Meltzer T, Monstrey S, Özer M, Poh M, Satterwhite T, Ting J, Zhao L, Kuzon WM, Schechter L

Plastic and Reconstructive Surgery Global Open · 2023

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

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

Urology · 2023

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

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...

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

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

Urology · 2023

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

Robotic-assisted Posterior Urethroplasty: Outcomes From 105 Men in a Single-center Experience

Zhang TR, Alford A, Wang A, Zhao LC

Urology · 2023

To determine surgical outcomes in a large of cohort men undergoing robotic-assisted posterior urethroplasty (RPU), which has been described in small series as a viable option. We performed a retrospective review of all 105 men who underwent RPU from...

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

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

Urology · 2023

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

Nipple-Preserving Inferior-Ellipse Mastectomy: A New Technique for Gender-Affirming Top Surgery

Robinson IS, Salibian A, Zhao LC, Bluebond-Langner R

Plastic and reconstructive surgery · 2023

The 2 most common techniques for gender-affirming mastectomy are the double-incision free nipple graft and periareolar techniques. However, some patients are not well suited for either technique. When the nipples are high and on the pectoralis muscle, but...

Impact of Medicaid Expansion on Genital Gender-Affirming Surgery in New York State

Zhang TR, Zhao LC, Qian Y, Radix A, Bluebond-Langner R, Harel D, Mmonu NA

Urology practice · 2023

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

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

Urology · 2023

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

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

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

Plastic and reconstructive surgery · 2023

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

Management of Pelvic Trauma‑Associated Urethral Injury in Men

Kassiri B, Zhang TR, Alford AV, Lee YS, Zhao LC

Current Surgery Reports · 2023

Editorial Comment

Zhao LC, Alford AV, Zhang TR

The Journal of urology · 2023

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

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

Plastic and reconstructive surgery · 2023

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

Should BMI Help Determine Gender-Affirming Surgery Candidacy?

Castle E, Kimberly L, Blasdel G, Parker A, Bluebond-Langner R, Zhao LC

AMA journal of ethics · 2023

Use of body mass index (BMI) as a health care metric is controversial, especially in candidacy assessments for gender-affirming surgery. When considering experiences of fat trans individuals, it is important to advocate for equitable divisions of...

How Should Surgeons Approach Gender-Affirming Surgery Revisions When Patients Were Not, Perhaps, Well Informed in Prior Counseling?

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

AMA journal of ethics · 2023

Surgeons often encounter patients with realistic goals yet who desire unrealistic means of achieving them. This tension is compounded when surgeons consult with patients eager to revise a prior gender-affirming procedure completed by another surgeon. Two...

AUTHOR REPLY

Zhang TR, Alford A, Wang A, Zhao LC

Urology · 2023

Reply by Authors

Zhang TR, Zhao LC, Qian Y, Radix A, Bluebond-Langner R, Harel D, Mmonu NA

Urology practice · 2023

Transgender women with prostate cancer are under-represented in national cancer registries

Kaplan-Marans E, Zhang TR, Zhao LC, Hu JC

Nature reviews. Urology · 2023

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,...

What Pediatric Robotic Surgery Since 2000 Suggests About Ethics, Limits, and Innovation

Zhang TR, Castle E, Zhao LC

AMA journal of ethics · 2023

Since the US Food and Drug Administration first approved robotic surgery for clinical use in 2000, it has gained widespread adoption across multiple surgical domains. While pediatric surgery has had a relatively slower adoption rate, robotic surgery has...

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...