Analysis of retropubic colpourethrosuspension results by suburethral sling with REMEEX prosthesis.
OBJECTIVE
To describe the results after colpourethropexy with a REMEEX prosthesis in the treatment of stress urinary incontinence with associated genital prolapse.


METHODS
A prospective analysis of all patients treated in our Urogynaecology Unit between November 2000 and March 2001.


RESULTS
There were 29 patients with mean age of 62 and mean body mass index of 28. All but one patients had stress incontinence (genuine or mixed) associated with a genital prolapse. The other patient was a failed past technique (Marshall-Burch). Cystometry was performed in 80% of the patients. Of these 93% had genuine stress incontinence and 7% mixed incontinence. The average operating time was 119min (CI: 60-310), and the mean hospital stay 5 days (CI: 3-13). There was one case of severe haemorrhage during surgery, four cases of wall seroma and one postoperative urinary infection. Concerning patient satisfaction, 90% of our patients felt they were cured, 8% were much better and 2% had a slight improvement. No patient had a worsening of symptoms after surgery.


CONCLUSIONS
We propose colpourethropexy by suburethral sling with a REMEEX prosthesis as suitable treatment for stress incontinence with associated genital prolapse.
Martínez
A Martín
AM
Urogynaecology Unit of Universitary Hospital of the Canaries, Department of Obstetric and Gynecology, Universitary Hospital of the Canaries, Avenida Marítima del Sur S/N, Las Palmas de Gran, Canaria, Spain. jgarciah@meditex.ex
Ramos
N Medina
NM
Requena
J F Cerezuela
JF
Hernández
J A García
JA
D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*