Ryan S. Hsi
Biography
Ryan S. Hsi, M.D., FACS, is Associate Professor in the Department of Urology at the University of California Irvine and Adjunct Associate Professor in the Department of Urology at Vanderbilt University School of Medicine. He holds the Ralph V. Clayman Endowed Chair in Endourology at UC Irvine. A specialist in endourology and urinary stone disease, Dr. Hsi focuses his research on the prevention, epidemiology, and medical management of nephrolithiasis, with particular emphasis on leveraging electronic health records, genomic biobanks, and large-scale data resources to improve kidney stone care.
Dr. Hsi is principal investigator or co-investigator on multiple active NIH/NIDDK-funded grants, including a randomized clinical trial of empiric versus selective preventive strategies for kidney stone disease (R01DK129202) and the USDHub project (RC2DK140865), a $7.3 million initiative to build a publicly available longitudinal multi-institutional data resource for urinary stone disease research. He is also dual PI on the the PCORI-funded OASIS (Observational Approach Versus Surgical Intervention for Stones) trial, a pragmatic randomized controlled trial comparing observation versus upfront surgery for asymptomatic kidney stones across 30 medical centers (BPS-2025C1-44653). He also serves as a member of the American Urological Association's Medical and Surgical Management of Kidney Stones Practice Guideline Committee and is a named co-author on the 2026 AUA surgical management of kidney and ureteral stones guidelines. In 2025, Dr. Hsi received the American Urological Association Gold Cystoscope Award for innovative research into the pathophysiology, epidemiology, genetics, and management of urolithiasis.
Dr. Hsi completed his M.D. at Loma Linda University School of Medicine, urology residency at the University of Washington School of Medicine, and a fellowship in laparoscopy and endourology at the University of California San Francisco. He is a Fellow of the American College of Surgeons and holds board certification from the American Board of Urology. Dr. Hsi has mentored numerous urology residents and endourology fellows, many of whom have gone on to faculty positions at academic medical centers.
Return to topEducation
- B.S. in Biological Sciences, Stanford University, 2005
- B.A. in Chinese, Stanford University, 2005
- M.D., Loma Linda University School of Medicine, 2009
Distinctions
- AUA Gold Cystoscope Award – innovative research into urolithiasis, 2025
- American Board of Urology Board Certification, 2018-present
- Endourological Society Summer Student Scholarship (Mentor), 2024
- AUA Leadership Program, Southeast Section Representative, 2023-2024
- AUA/JUA Academic Exchange Scholar, 2018
- 1st place, AUA Leadership Program Group Project: Learning Preferences of the AUA, 2024
- IVUmed Traveling Resident Scholarship, 2012
- Alpha Omega Alpha (AOA), 2008
- Journal of Urology Reviewer of the Month, 2024
- Urology Practice Journal Top Reviewer (Vol 9, Issue 6), 2022
Areas of Expertise
- Urolithiasis and Endourology
- Nephrolithiasis Epidemiology and Risk Factors
- Kidney Stone Surgical Management
- 24-Hour Urine Metabolic Evaluation
- Electronic Health Record Phenotyping
- Preventive Pharmacotherapy for Recurrence
- Large Language Model Clinical Identification
Recent Publications
- Ashbrook C.Q., Hsi R., Cavanaugh K.L., Clayton D.B., Frainey B.T., McCoy A.B., Penson D.F., Rings V., Smith S.M., Wright A., Corona L.E., “Feasibility of implementation, diagnostic accuracy, and end-user impact of an electronic health record (EHR)-based ureteral stent tracking tool in a pediatric population” (opens in new tab), Journal of Pediatric Urology, vol. 22, 2026.
- Forbes C.M., Stern K.L., Finegan J., Reed A., Narang G., Wymer K., Moore J., Berger J., Katz J., Maciolek K., Koyama T., Lee A., Chew B.H., Miller N.L., Bechis S.K., Sur R.L., Hsi R.S., “Does treatment of non-obstructing nephrolithiasis reduce recurrent urinary tract infections? A prospective, observational trial from the EDGE consortium” (opens in new tab), Canadian Urological Association Journal, vol. 20, 2026.
- Smith K.B., Lee M.S., Valicevic A., Patel S., Hollingsworth J.M., Shahinian V.B., Hsi R.S., “Facility Variation of Follow-Up Imaging Practices Among U.S. Veterans for Urinary Stone Disease” (opens in new tab), Journal of Endourology, vol. 40, pp. 504-512, 2026.
- Bechis S.K., Wollin D.A., Rivera M., Ingimarsson J., Scotland K., Lee A.X., Koyama T., Canvasser N., Bhojani N., Hsi R.S., “Randomized, multicenter trial of ureteral stent placement vs. stent omission after ureteroscopy for renal stones” (opens in new tab), Canadian Urological Association Journal, vol. 20, pp. 200-207, 2026.
- Maciolek K.A., Khan A.I., Hsi R.S., Kavoussi N.L., “Cornering the Challenge: Initial Clinical Experience with EndoTheia FlexStone Endoscopic Steerable Basket” (opens in new tab), Journal of Endourology, vol. 40, pp. 134-138, 2026.
- Hsi R.S., Yan P.L., Crivelli J.J., Ferraro P.M., Curhan G.C., Best S., Asplin J.R., Shahinian V., Hollingsworth J.M., “Baseline Urinary Calcium and the Efficacy of Thiazide Diuretics for Kidney Stone Prevention” (opens in new tab), Journal of Urology, 2026.
- Bejan CA, Reed AM, Mikula M, Zhang S, Xu Y, Fabbri D, Embi PJ, Hsi RS, “Large language models improve the identification of emergency department visits for symptomatic kidney stones” (opens in new tab), Scientific Reports, vol. 15, no. 1, pp. 3503, 2025.
- Schaub JA, Oerline MK, Hsi RS, “The Impact of SGLT2 Inhibitors and GLP-1 Receptor Agonists on 24-hour Urine Parameters: A Retrospective Cohort Study” (opens in new tab), Kidney360, vol. 6, pp. 835-847, 2025.
- Salka BR, Oerline MK, Yan P, Hsi RS, “Associations of Topiramate and Zonisamide Use with Kidney Stones: A Retrospective Cohort Study” (opens in new tab), American Journal of Kidney Diseases, vol. 85, pp. 687-694.e1, 2025.
- Bowers L, Maciolek K, Hsi RS, Kavoussi N, “Uncertainty During Ureteroscopy: Evaluating Surgeon Consensus on In Vivo Stone Dust After Laser Lithotripsy” (opens in new tab), Urology, vol. 207, pp. 30-35, 2025.
- Khan AI, Cortese BD, Cox LL, Maciolek KA, Kavoussi NL, Talwar R, Hsi RS, “Projected Savings for Urolithiasis Medications Purchased Through the Mark Cuban Cost Plus Drug Company in Medicare” (opens in new tab), Urology Practice, vol. 13, pp. 207-214, 2025.
- Crooks T, Hsi RS, Crivelli JJ, Clayman RV, “Comparison of 24-Hour urine parameters before and after initiation of Metformin in patients with diabetes and urolithiasis: A retrospective analysis” (opens in new tab), Urolithiasis, vol. 53, no. 1, pp. 207, 2025.
- Sheetz T, Hsi RS, Miller NL, “Clinical Outcomes Comparing Mini Versus Standard PCNL without Postoperative Nephrostomy Tube: A Multi-Institutional Randomized Controlled Trial from the EDGE Consortium” (opens in new tab), Urology, vol. 209, pp. 32-38, 2025.
- Pearle MS, Matlaga BR, Antonelli JA, Chi T, Hsi RS, “Surgical Management of Kidney and Ureteral Stones: AUA Guideline (2026) Part 1: Evaluation and Treatment of Patients with Kidney and/or Ureteral Stones” (opens in new tab), Journal of Urology, vol. Publish Ahead of Print, pp. 1-2, 2025.
- Hsi R.S., Oerline M.K., Best S.L., Crivelli J.J., Asplin J.R., Shahinian V., Hollingsworth J.M., “Comparison of Thiazide Versus Alkali for Kidney Stone Recurrence Among Individuals With Hypocitraturia and High Urine pH” (opens in new tab), Kidney Medicine, vol. 7, 2025.
- Hsi RS, Crivelli JJ, Yan PL, Shahinian V, Hollingsworth JM, “Comparison of Class-Specific Side Effects Across Preventative Pharmacologic Therapies for Kidney Stone Disease” (opens in new tab), Urology Practice, vol. 11, no. 1, pp. 172-178, 2024.
- Arivoli K, Valicevic AAN, Oerline MK, Hsi RS, “Preventive Pharmacological Therapy and Risk of Recurrent Urinary Stone Disease” (opens in new tab), Clinical Journal of the American Society of Nephrology, vol. 19, pp. 565-572, 2024.
Most Cited Publications
- Lamberton GR, Hsi RS, Jin DH, Lindler TU, Baldwin DD, “Prospective Comparison of Four Laparoscopic Vessel Ligation Devices” (opens in new tab), Journal of Endourology, vol. 22, no. 10, pp. 2301-12, 2008.
- Sorensen MD, Hsi RS, Chi T, Shara N, Wactawski-Wende J, Kahn AJ, Wang H, Hou L, Stoller ML, “Dietary Intake of Fiber, Fruit and Vegetables Decrease the Risk of Incident Kidney Stones in Women: A Women's Health Initiative (WHI) Report” (opens in new tab), Journal of Urology, vol. 192, no. 6, pp. 1694-9, 2014.
- Hsi RS, Sanford T, Goldfarb DS, Stoller ML, “The role of the 24-hour urine collection in the prevention of kidney stone recurrence” (opens in new tab), Journal of Urology, vol. 197, no. 4, pp. 1084-1089, 2017.
- Macleod L, Hsi RS, Gore JL, Wright JL, Harper JD, “Perinephric fat thickness is an independent predictor of operative complexity during robotic partial nephrectomy” (opens in new tab), Journal of Endourology, vol. 28, no. 5, pp. 587-91, 2014.
- May PC, Hsi RS, Tran HH, Stoller M, Chew BH, Chi T, Usawachintachi M, Duty BD, Gore JL, Harper JD, “The Morbidity of Ureteral Strictures in Patients with Prior Ureteroscopic Stone Surgery: Multi-Institutional Outcomes” (opens in new tab), Journal of Endourology, vol. 32, no. 4, pp. 309-14, 2018.
- Hsi RS, Spieker AJ, Stoller ML, Jacobs DR, Reiner AP, McClelland RL, Kahn AJ, Chi T, Szklo M, Sorensen MD, “Coronary artery calcium score and association with recurrent nephrolithiasis: the Multi-Ethnic Study of Atherosclerosis” (opens in new tab), Journal of Urology, vol. 195, no. 4 Pt 1, pp. 971-6, 2016.
- Dy GW, Hsi RS, Holt SK, Lendvay TS, Gore JL, Harper JD, “National Trends in Secondary Procedures Following Pediatric Pyeloplasty” (opens in new tab), Journal of Urology, vol. 195, no. 4 Pt 2, pp. 1209-14, 2016.
- Hsi RS, Harper JD, “Fluoroless Ureteroscopy: Zero-dose fluoroscopy during ureteroscopic treatment of urinary tract calculi” (opens in new tab), Journal of Endourology, vol. 27, no. 4, pp. 432-7, 2013.
- Cabo J, Hsi RS, Scarpato KR, “Post-Operative Opiate Use in Urologic Patients: a Quality Improvement Study Aimed at Improving Opiate Disposal Practices” (opens in new tab), Journal of Urology, vol. 201, no. 2, pp. 371-376, 2019.
- Abraham A, Kavoussi N, Sui W, Bejan C, Capra JA, Hsi R, “Machine Learning Prediction of Kidney Stone Composition Using Electronic Health Record-Derived Features” (opens in new tab), Journal of Endourology, vol. 36, no. 2, pp. 243-250, 2022.
Contact Information
Email: rhsi1@uci.edu
Phone: (714)456-7005
Address: 3800 W. Chapman Ave, Suite 7200
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Last updated on 9/15/2026.