REMEEX® system for the treatment of male urinary stress incontinence: Our experience

• Published in: Actas urológicas españolas (English ed.) 2010, Vol.34 (9), p.802-805
• Main Authors: Jiménez Parra, J.D., Cebrián Lostal, J.L., Hualde Alfaro, A., Álvarez Bandrés, S., García García, D., Torres Varas, L., Jiménez Calvo, J.M., González de Garibay, A.S.
• Format: Article
• Language: English
• Subjects: Incontinence; Incontinencia; Mallal; Readjustable; Reajustable; Sling; Tratamiento; Treatment
• ISSN: 2173-5786; 2173-5786
• DOI: 10.1016/S2173-5786(10)70198-0

We evaluate the effectiveness of REMEEX® (readjustable sling) for the treatment of male urinary stress incontinence (SUI). Between February 2007 and December 2009, 14 male patients with mild to severe SUI were operated with the use of the REMEEX® system. The origin of incontinence was radical open prostatectomy (n=9), laparoscopic prostatectomy (n=4) and TUR (n=1). We evaluate postoperatively complications in three groups: intraoperatively, early complications (before 1 month) and late complications (after 1 month). Follow up was done at 1, 3, 6 and 12 months after intervention. The mean age was 68.5 years (range: 62–71). The average follow-up time was 18.6 months (range: 10.1-35.2). The mean of readjustment was 3.7 (range: 1–6). Twelve patients were readjusted during the early period (24–72h after intervention). The mesh was removed in 3 cases (21.4%) owing to infection in one and the others because patients didn’t want further system readjustment. There were four (28.5%) intraoperative bladder perforations. The most frequent early complication was acute urinary retention with five cases (35.7%). At one year of follow-up 41.7% of the patients are totally continent (5/12) and 33.3% presents light urinary incontinence (4/12). The REMEEX® system for the treatment of male SUI presents (in our experience) 75% of good results (continent patients or patients with light urinary incontinence) at the year of follow-up with a high rate of light complications. Readjustments are frequent at the first six months after intervention and and intense follow up is necessary. We need more studies that evaluate the long-term efficiency of this system. Presentamos un estudio retrospectivo sobre los resultados obtenidos por nuestro servicio en el tratamiento de la incontinencia urinaria de esfuerzo masculina con el sistema REMEEX®. Entre febrero de 2007 y diciembre de 2009 se intervinieron con el sistema REMEEX® 14 pacientes varones diagnosticados de incontinencia urinaria de esfuerzo moderada-severa. El origen de la incontinencia fue secundario a prostatectomía radical abierta (n=9), laparoscópica (n=4) y RTU prostática (n=1). Evaluamos las complicaciones obtenidas en tres grupos: intraoperatorias, precoces (menos de 1 mes) y tardías (más de 1 mes). Evaluamos el estado de los pacientes tras 1, 3, 6 y 12 meses de seguimiento. La mediana de edad fue de 68,5 años (rango: 62–71). El tiempo mediano de seguimiento fue de 18,6 meses (rango: 10,1–35,2). La media de reajustes fue de 3,