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333 results on '"Zhao, Lee C."'

9. 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

Author

Jamil, Marcus L., Hamsa, Alexandra, Grove, Shawn, Cho, Eric Y., Alsikafi, Nejd F., Breyer, Benjamin N., Broghammer, Joshua A., Buckley, Jill C., Elliott, Sean P., Erickson, Bradley A., Myers, Jeremy B., Peterson, Andrew C., Rourke, Keith F., Voelzke, Bryan B., Zhao, Lee C., and Vanni, Alex J.

Published
2023
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19. Preoperative Factors for Success of Robotic Ureteral Reconstruction for Distal Ureteral Strictures.

Author

Lee, Matthew, Zhao, Kelley, Chao, Brian, Lee, Ziho, Munver, Ravi, Ahmed, Mutahar, Stifelman, Michael D., Zhao, Lee C., and Eun, Daniel D.

Subjects
URETERIC obstruction, URETER diseases, LOGISTIC regression analysis, REIMPLANTATION (Surgery), URETER surgery
Abstract

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 of Reconstructive Robotic Ureteral Surgery database to identify all consecutive patients undergoing RUR for surgical repair of distal ureteral strictures between 04/2012 and 12/2022. Procedures included refluxing reimplant (58.5%), side to side reimplant (18.0%), ureteroureterostomy (12.7%), non-refluxing reimplant (6.3%), buccal mucosa ureteroplasty (2.8%), and appendiceal bypass ureteroplasty (1.7%). Patients were grouped according to whether they were surgically successful. Preoperative variables between both groups were compared using chi-square tests. All variables with associations of p < 0.2 underwent a binary logistic regression analysis to determine predictive variables of success for RUR (p ≤ 0.05 considered statistically significant). Results: Overall, 284 patients met inclusion criteria. Univariate analysis showed obesity (p = 0.03), smoking history (p = 0.10), abdominopelvic radiation history (p = 0.14), immunocompromised state (p = 0.12), and ureteral rest (p = 0.01) were notable preoperative factors (p < 0.2). Binary logistic regression analysis further revealed the odds of surgical success in patients with obesity was 0.32 times (CI: 0.12–0.83, p = 0.02) the odds of success for patients without obesity. The odds of surgical success in patients who underwent preoperative ureteral rest was 4.2 times (CI: 1.51–11.77, p < 0.01) the odds of success for patients who did not undergo preoperative ureteral rest. Conclusion: Preoperative factors including obesity and ureteral rest may affect surgical success of RUR for management of distal ureteral strictures. [ABSTRACT FROM AUTHOR]

Published
2024
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20. The Impact of Social Deprivation on Anterior Urethral Stricture Recurrence After Urethroplasty: A Trauma and Urologic Reconstructive Network of Surgeons Analysis.

Author

Patel, Hiren V., Li, Kevin D., Rourke, Keith F., Smith III, Thomas G., Voelzke, Bryan B., Myers, Jeremy B., Broghammer, Joshua A., Alsikafi, Nejd F., Buckley, Jill C., Zhao, Lee C., Elliott, Sean P., Vanni, Alex J., Peterson, Andrew C., Erickson, Bradley A., and Breyer, Benjamin N.

Published
2024
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38. Transgender and Non-Binary Surgery Registry: Building a Patient-Focused Registry for Genital Gender Affirming Surgery.

Author

Dy, Geolani W., Blasdel, Gaines, Dugi, Daniel, Butler, Christi, Hotaling, James M., Myers, Jeremy B., Goodwin, Isak, Bluebond-Langner, Rachel, Zhao, Lee C., and Agarwal, Cori A.

Subjects
GENITAL surgery, RESEARCH funding, QUESTIONNAIRES, NONBINARY people, REPORTING of diseases, GENDER affirmation surgery, HEALTH outcome assessment
Abstract

Purpose: High quality data regarding long-term clinical and patient-reported outcomes (PROs) of genital gender-affirming surgery (GGAS) are lacking, and transgender and non-binary (TGNB) community voices have not historically been included in research development. These factors limit the utility of current research for guiding patients, clinicians, payers, and other GGAS stakeholders in decision-making. The Transgender and Non-Binary Surgery (TRANS) Registry has been developed to meet the needs of GGAS stakeholders and address limitations of traditional GGAS research. Methods: Development of the TRANS Registry occurred over several developmental phases beginning in May 2019 to present. Stakeholder engagement was performed throughout these phases, including: determination of key clinical outcomes and PROs, creation and implementation of data collection tools within the electronic health record (EHR), and development of centralized registry infrastructure. Results: The TRANS Registry is a prospective observational registry of individuals seeking vaginoplasty and vulvoplasty. The EHR-enabled infrastructure allows patients and clinicians to contribute longitudinal outcomes data to the TRANS Registry. We describe our community engaged approach to designing the TRANS Registry, including lessons learned, challenges, and future directions. Conclusions: The TRANS Registry is the first multicenter initiative to prospectively track the health of individuals seeking vaginoplasty and vulvoplasty using EHR-enabled methods, engaging TGNB community members and clinicians as partners in the process. This process may be used as a model for registry development in other emerging fields where high-quality longitudinal outcomes data are needed. [ABSTRACT FROM AUTHOR]

Published
2024
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