title: [REMEEX® system for the treatment of male urinary stress incontinence: our experience].
abstract: BACKGROUND
  We evaluate the effectiveness of REMEEX® (readjustable sling) for the treatment of male urinary stress incontinence (SUI).
  
  
  METHODS
  Between February 2007 and December 2009, 14 male patients with mild to severe SUI were operated with the use of 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.
  
  
  RESULTS
  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 more system readjustment. There were four (28,5%) intraoperative bladder perforations. The early complication more frequent was acute urinary retention with five cases (35,7%). To the year of follow-up 41,7% of the patients are totally continent (5/12) and 33,3% presents light urinary incontinence (4/12).
  
  
  CONCLUSIONS
  The REMEEX® system for the treatment of male SUI presents (in our experience) a 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. Readjustment are frequent at the first six months after intervention and it's necessary an intense follow-up. We need more studies that evaluate the long-term efficiency of this system.
authors.affiliation: Servicio de Urología, Hospital Virgen del Camino, Pamplona, España. jdjimenez@hotmail.es
authors.forename: J D
authors.initials: JD
authors.lastname: Jiménez Parra
authors.forename: J L
authors.initials: JL
authors.lastname: Cebrián Lostal
authors.forename: A
authors.initials: A
authors.lastname: Hualde Alfaro
authors.forename: S
authors.initials: S
authors.lastname: Alvarez Bandrés
authors.forename: D
authors.initials: D
authors.lastname: García García
authors.forename: L
authors.initials: L
authors.lastname: Torres Varas
authors.forename: J M
authors.initials: JM
authors.lastname: Jiménez Calvo
authors.forename: A S
authors.initials: AS
authors.lastname: González de Garibay
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*