ReMeEx device (External Mechanical Regulator) for incontinence: implantation and regulation procedure, complications and results at 3 years follow-up.
A new sling technique that allows a postoperative adjustment of the sling tension is presented with encouraging results in the treatment of female stress urinary incontinence. The readjustment prevents the need of a reoperation in case of relapse with great compliance of the patients. Indications for surgical treatment of female stress urinary incontinence by ReMeEx included patients with: fixed urethra, urethral hypermobility, intrinsic sphyncteric deficiency and previous incontinence surgical interventions. Out of 32 patients treated, 31 were cured with transitory urge in 2 and readjustment in 3. In one case the device was removed for infection.


CONCLUSIONS
the ReMeEx system offers the possibility to modify the sling support level whenever needed during patient's life. Wiyh the ReMeEx system we can and should improve the outcome of these patients leaving them completely dry, without any urine leakage.
Mantovani
Franco
F
Department of Urology, IRCCS Ospedale Maggiore, Milan, Italy. dockk@iol.it
Castelnuovo
Chiara
C
Bernardini
Paolo
P
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019736:Prostheses and Implants; D011474:Prosthesis Design; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*