Our experience in the treatment of male stress urinary incontinence with the male Remeex system.
OBJECTIVE
We show our experience in the treatment of post-prostatectomy stress urinary incontinence with the male Remeex system (MRS). We also describe the elements of the system, its therapeutic indications, technical implantation and appropriate adjustment.


METHODS
From March 2007 to January 2009 five male patients aged 57 to 71 years (mean age 66 years) with postprostatectomy stress urinary incontinence were operated on to insert a suburethral readjustable sling (Remeex). All patients had severe urinary incontinence with deterioration of their quality of life. The evolution period ranged from 2 to 10 years with an average of 3.5 years, requiring from 5 to 8 pads a day.


RESULTS
All patients are continent after a mean follow up of 15.4 months (range 6-28 months). Only two of them use one security pad when they perform physical efforts. The Incontinence Impact Questionnaire (7) scores before surgery and 6 months after diminished from 68+/-7 to 10+/-3. All patients are very satisfied.


CONCLUSIONS
MRS is a valid therapeutic option for post-prostatectomy incontinence, being a reproducible technique, of easy execution, that allows readjustment through a suprapubic incision under local anesthesia as an outpatient procedure. It has a low complication rate with excellent and endured results.
Navalón Verdejo
Pedro
P
Urodynamics Unit, Urology Department, University Hospital Casa de Salud, Catholic University, Valencia, Spain. pedronavalon@yahoo.com
Pallás Costa
Yoni
Y
Ordoño Domínguez
Felipe
F
Monllor Peidro
Elisa
E
Juan Escudero
Joaquín
J
Ramos de Campos
Macarena
M
Sánchez Ballester
Francisco
F
D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects; D011474:Prosthesis Design; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*