Registro español del sistema TRT Remeex en mujeres con incontinencia urinaria de esfuerzo

Sierra, Jesús Moreno; Queimadelos, Antonio; Beltrán, P. Arañó; Pérez, Pedro de la Fuente; Requena, J.F. Cerezuela; Otero, Eduardo Cortés; Tardiu, Lluís Amat; Escandón, A. Sousa; Caballero, Jorge Ruiz; Ricapa, Juan Gambini; Morera, Santiago Urgell; Santisteban, J.R.; Porcel, Magi Valls; Esteban, Feliz Arnaiz; Fernandez, José Manuel Camporro; Moyano, A. Silmi

doi:10.4321/s0004-06142006000200007

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…According to abdominal leak point pressures, there were no patients with pressures lower than 60 cm H 2 O, which is consistent with ISD. In our study, we found a cure rate of 84.2%, which is consistent with other Remeex procedure series [17,18,19,20,21]. …”

Section: Discussionsupporting

confidence: 80%

“…Thirty-one patients were cured and the device was removed in 1 patient because of infection. Moreno Sierra et al [20] conducted a retrospective study of 683 patients with mixed urinary incontinence, ISD and recurrent SUI who underwent a Remeex procedure with a mean follow-up of 23 months. They reported a 92.2% cure rate, improvement in 6.9% and failure in 0.9% of the cases.…”

Section: Discussionmentioning

confidence: 99%

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A Valuable Option in the Management of Female Recurrent Stress Urinary Incontinence: Re-Adjustable Sling (Remeex Sling System)

Yaşa

Uğurlucan²,

Dural³

et al. 2016

Urol Int

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Introduction: This study was conducted to evaluate the effectiveness and safety of adjustable slings in the treatment of recurrent stress urinary incontinence (SUI) after mid-urethral sling (MUS) failure. Materials and Methods: A prospective study was performed among women with recurrent SUI at the Urogynecology Division of Istanbul School of Medicine between February 2010 and March 2015. All women were preoperatively evaluated with detailed urogynecologic evaluations, which included pelvic examination, Q-tip test, pad test, urodynamic studies and a compilation of the Kings Health Questionnaire (KHQ). Postoperative follow-up was performed at 1, 6 and 12 months and annually thereafter. Our primary outcome was objective cure and patient's satisfaction with treatment. Secondary outcomes included perioperative complications and adverse events. Results: Nineteen women were included in the study. The patients' mean age was 55.3 ± 6.9 years (range 43-66 years). The median follow-up time was 20.7 ± 14.0 months (range 6-55 months). The overall cure and improvement rates were 84.2 and 10.5%, respectively. In the satisfaction questionnaire, 15 (79%) patients responded that they were very satisfied and 3 (15.7%) were moderately satisfied. Sling tension re-adjustment was needed during follow-up in 1 patient (5.3%), 13 months after the initial surgery. The preoperative mean KHQ score was 545.9 ± 243.0 and changed to 237.0 ± 217.5 (p < 0.05). Postoperative complications were slight and easily manageable. Conclusions: Recurrent SUI is a challenging condition in urogynecology. The Regulation Mechanical External (Remeex) system has been found to be effective in the treatment of recurrent SUI after MUS failure with acceptable adverse effects. The Remeex system has the advantage of re-adjustment as a valuable option in the long-term management of patients.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

A Valuable Option in the Management of Female Recurrent Stress Urinary Incontinence: Re-Adjustable Sling (Remeex Sling System)

Yaşa

Uğurlucan²,

Dural³

et al. 2016

Urol Int

View full text Add to dashboard Cite

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“…The common postoperative complications are wound infection, vaginal erosion, and de novo urgency according to the reported studies. Moreno Sierra et al [8] reported that 1.7% of patients require detraction of the varitensor owing to persistent abdominal wall seroma, and 0.8% present with vaginal extrusion of the sling. Errando et al reported that no urethral or vaginal erosion occurred after the Remeex procedure, and they found only one patient (0.8%) with a seroma in the subcutaneous tissue around the varitensor.…”

Section: Discussionmentioning

confidence: 99%

“…Two patients (7%) required sling tension readjustment. Moreno Sierra et al [8] studied a group of 683 women that consisted of patients with mixed incontinence (30.2%), ISD (73.1%), and recurrent SUI (35.7%); these patients underwent the Remeex treatment with a mean follow-up of 23 months (range, 6-93 months). Those authors reported that the cure rate was 92.2%, with 6.9% reporting improvement and 0.9% reporting failure.…”

Section: Discussionmentioning

confidence: 99%

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Long-term Outcome of the Readjustable Sling Procedure for Female Stress Urinary Incontinence With Intrinsic Sphincter Deficiency or Recurrence

Seo

Noh

2014

Korean J Urol

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PurposeWe evaluated the long-term outcome of a readjustable midurethral sling system (Remeex) in the treatment of recurrence of stress urinary incontinence (SUI) after surgical treatment or SUI with intrinsic sphincter deficiency (ISD).Materials and MethodsThis study included 19 patients who underwent the Remeex procedure with a mean of 45.6 months of follow-up. The patients had responded to a telephone questionnaire. Thirteen patients had ISD, four patients had SUI recurrence, and two patients had both. The questionnaire included subjective cure and satisfaction surveys and also recommended surgery to some patients.ResultsThe mean patient age was 69.1 years (range, 50-85 years), the mean parity was 2.79 times (range, 2-5 times), and the mean follow-up period was 45.6 months (range, 21-72 months). The long-term follow-up cure rate was 79%, the improvement rate was 21%, and the fail rate was 0%. The long-term follow-up "very satisfactory" rate was 26.3%, the "satisfactory" rate was 73.7%, and the "usual" and "unsatisfactory" rates were both 0%. In addition to these results, 16 patients (84.2%) would recommend the Remeex procedure to other patients with SUI recurrence or ISD. After the procedure, four patients had urinary retention, three patients had difficulty emptying, and one patient had SUI recurrence. Furthermore, all of the patients subsequently endured sling readjustments.ConclusionsAfter long-term follow-up, the Remeex system showed good cure rates and subjective satisfaction rates that were similar to the results found at the 1-year follow-up, and minimal complications were reported. Therefore, the Remeex system is effective in treating patients with SUI recurrence or ISD.

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Effectiveness of the Remeex system™ in Colombian women with recurrent stress urinary incontinence or intrinsic sphincter deficiency

et al. 2018

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Registro español del sistema TRT Remeex en mujeres con incontinencia urinaria de esfuerzo

Abstract: The Reemex system is a minimally invasive technique with consistent results and even improved in heterogeneous groups of patients including intrinsic sphincter defficiency, reoperations, mixed incontinence and associated pathologies.

Cited by 9 publications

References 6 publications

A Valuable Option in the Management of Female Recurrent Stress Urinary Incontinence: Re-Adjustable Sling (Remeex Sling System)

A Valuable Option in the Management of Female Recurrent Stress Urinary Incontinence: Re-Adjustable Sling (Remeex Sling System)

Long-term Outcome of the Readjustable Sling Procedure for Female Stress Urinary Incontinence With Intrinsic Sphincter Deficiency or Recurrence

Effectiveness of the Remeex system™ in Colombian women with recurrent stress urinary incontinence or intrinsic sphincter deficiency

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