title: Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage.
abstract: BACKGROUND
  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.
  
  
  CONCLUSIONS
  In our experience, this technique is simple to learn and transferrable. It decreases intraoperative complications and helps to climb the learning curve.
authors.affiliation: Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong. Electronic address: eugenelauct@hotmail.com.
authors.forename: Chin Tung
authors.initials: CT
authors.lastname: Lau
authors.affiliation: Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
authors.forename: Lawrence Chuen Leung
authors.initials: LCL
authors.lastname: Lan
authors.affiliation: Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
authors.forename: Kenneth Kak Yuen
authors.initials: KKY
authors.lastname: Wong
authors.affiliation: Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
authors.forename: Paul
authors.initials: P
authors.lastname: Tam
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D012092:Replantation / Q000295:instrumentation*; D012189:Retrospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
keywords: Pneumovesical; Reimplantation; T-fastener; Vesicoscopic