title: Effects of the REMEEX System in Female Patients with Intrinsic Sphincteric Deficiency and Recurrent Urinary Incontinence: 3-Year Outcomes.
abstract: OBJECTIVE
  To evaluate the long-term outcomes of the REMEEX system (EXternal MEchanical REgulation, Neomedic International, Terrassa, Barcelona, Spain) for the treatment of recurrent urinary incontinence (UI) and intrinsic sphincteric deficiency (ISD).
  
  
  METHODS
  From August 2006 to September 2007, a total of 30 patients underwent REMEEX system. Patients were categorized into failed UI (Group A, 11 patients) and ISD (Group B, 19 patients). The success rate of patients after surgery was assessed by cure and satisfaction rates postoperatively at follow-up at 1, 12, and 36 months. Clinical, urodynamic, perioperative, and postoperative data of success rates were analyzed.
  
  
  RESULTS
  Total cure rates with REMEEX system(Group A/Group B) were 100.0/94.7% at 1 month and 90.9/79.0% at 3 years. Satisfaction rates were 100.0/89.5% at 1 month and 81.8/68.4% at 3 years in groups A and B. Two patients (6.7%) experienced wound infections. Of these, one patient was treated using intravenous antibiotics and the other had their varitensor removed. Other minimal postoperative complications were immediately resolved.
  
  
  CONCLUSIONS
  The REMEEX system may be an effective procedure regardless of previous incontinence surgical interventions and ISD. The correct sling tension is easily achieved during the early postoperative period, and when necessary, is able to convert late failures into cures. The problems of recurrent UI during the follow-up period were also resolved successfully in every case.
authors.affiliation: Department of Urology, College of Medicine, Institute of Biomedical Engineering, Yeungnam University, Daegu, Korea.
authors.forename: Phil H
authors.initials: PH
authors.lastname: Song
authors.affiliation: Department of Urology, College of Medicine, Institute of Biomedical Engineering, Yeungnam University, Daegu, Korea.
authors.forename: Chang H
authors.initials: CH
authors.lastname: Hyun
authors.affiliation: Department of Urology, College of Medicine, Institute of Biomedical Engineering, Yeungnam University, Daegu, Korea.
authors.forename: Esther
authors.initials: E
authors.lastname: Shin
authors.affiliation: Department of Urology, College of Medicine, Institute of Biomedical Engineering, Yeungnam University, Daegu, Korea.
authors.forename: Hee-C
authors.initials: HC
authors.lastname: Jung
keywords: midurethral sling; urinary incontinence; urologic surgical procedure