The Red Beads
A single complication cannot grade a surgeon. Deming's red beads, M&M, and why surgical quality lives in the distribution, not in one bad outcome.
Lee C. Zhao, MD
Reconstructive urology at NYU Langone.
Complex and redo surgery of the ureter, urethra, and lower urinary tract, and gender-affirming surgery, explained for patients and for the physicians who refer them.
Latest essays
All essays 
Master the Eggs
Mastery means knowing which details carry the operation. A lesson from the bedside, where a missed step nearly put a patient on the floor.
The Adjacent Possible and the Buccal Mucosa Graft
Why a useful surgical idea can wait for generations, and what the history of the buccal mucosa graft reveals about innovation.
Teaching and projects
- Penile amputation and replantation
Follow normal penile and scrotal anatomy through amputation, matching cut surfaces, and schematic replantation. Educational review model; not for clinical use.
- Anterior Lumbar Interbody Fusion (ALIF)
Compare open and single-port robotic anterior exposure with 3D anatomy and simulated X-ray views. Geometry review draft.
- Urologic Anatomy
Explore female and male anatomy from diaphragm to pelvis. Follow urology lessons and remove organs to uncover quiz targets. Visual demo; not for clinical use.
- Female and male voiding mechanics
Explore bladder contraction, outlet relaxation, and urine flow in an interactive 3D teaching atlas. Generic anatomy; schematic mechanics.
- Urethral stricture: one specimen in 3D
Explore one constructed short bulbar scar in Patient or Trainee mode. Cutaway views and five overlays: disease, DVIU/dilation, drug-coated balloon, excision and anastomosis, and dorsal or ventral buccal graft. Visual demo; not for clinical use.
- Bladder neck after TURP
One constructed outlet after TURP. A patent contracture with a pinhole, or complete obliteration with a suprapubic tube. Six overlays open the neck. Visual demo; not for clinical use.
- Pelvic Fracture Urethral Injury Anatomy
Explore 20, 40 and 60 mm teaching cases with animated reconstruction and rewind. Visual demo; not for clinical use.
- Ureteral reconstruction anatomy, unfolded.
Explore left distal ureter anatomy, reimplantation, psoas hitch, and Boari flap overlays. Visual demo; not for clinical use.
- Donor nephrectomy anatomy, unfolded.
Explore left and right donor kidneys, side-specific vessels and neighboring organs, the ureteral packet, arterial variants, and the harvest sequence. Switch laterality within the atlas. Visual demo; not for clinical use.
- Radial forearm phalloplasty, unfolded.
Follow one left forearm flap through tube-within-a-tube construction. Work in progress: donor construction only; transfer and later stages remain in the storyboard.
- Gender-affirming mastectomy, unfolded.
Explore bilateral double-incision mastectomy with free nipple grafts and a separate nipple-preserving approach. Follow flap elevation, resection and closure, or review one step at a time. Illustrative educational animation.
- Peritoneal flap vaginoplasty, unfolded.
Explore pelvic anatomy, two peritoneal flaps, and the skin-to-peritoneum reconstruction in 3D. Visual demo; not for clinical use.
- Surgical Frame: 3D reconstructive anatomy
Explore the retroperitoneum, pelvis, and perineum through surgical approaches and guided tours.
- NYU Genitourinary Reconstructive Surgery Fellowship
The fellowship year, operative experience, alumni, and how to apply.
- GURS Fellowship Atlas
Map of US and Canada GURS fellowships with published surgical volumes and case-log rankings.
- Surgical Decision Simulator
Case-based decision training in reconstructive urology.
- Urology Workforce Atlas
Urologists per country, density per population, society rolls, and urology meetings since 2000, every figure with its source.
- United States Urologist Atlas
Compare urologist counts and density across US counties, states, and metro areas, with sources and methods.
- Reconstructive Urology Fellowship Family Tree
The fellowship lineage of mentors and fellows, 1990 to 2026.
- NYU Langone Urology Alumni
Alumni and department history.
- NYU Urology History
Rankings, faculty, and research over time.
- Northwestern Urology Graduates
Residency graduates on a timeline and map.