Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage

Chin Tung Lau; Lawrence Chuen Leung Lan; Kenneth Kak Yuen Wong; Paul Tam

doi:10.1016/j.jpurol.2017.02.024

Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage

J Pediatr Urol. 2017 Jun;13(3):326-328. doi: 10.1016/j.jpurol.2017.02.024. Epub 2017 Mar 18.

Authors

Chin Tung Lau¹, Lawrence Chuen Leung Lan², Kenneth Kak Yuen Wong², Paul Tam²

Affiliations

¹ Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong. Electronic address: eugenelauct@hotmail.com.
² Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

PMID: 28373001
DOI: 10.1016/j.jpurol.2017.02.024

Abstract

Introduction: Bladder anchoring during pneumovesical ureteric reimplantation (PUR) can be difficult. Here we describe our new technique using a T-fastener (Kimberly Clark, Irving, TX, USA) to tackle this problem.

Methods: A T-fastener has been applied to all patients who underwent PUR in our center since 2011.

Results: Seventeen consecutive cases were performed between 2011 and 2015. No bladder dislodgement or air leak was observed in any of the operations. No morbidity or mortality has been associated with the use of T-fasteners.

Conclusion: In our experience, this technique is simple to learn and transferrable. It decreases intraoperative complications and helps to climb the learning curve.

Keywords: Pneumovesical; Reimplantation; T-fastener; Vesicoscopic.

MeSH terms

Child
Child, Preschool
Female
Humans
Male
Replantation / instrumentation*
Retrospective Studies
Treatment Outcome
Urinary Bladder / surgery*
Vesico-Ureteral Reflux / surgery*