title: Long-term follow-up for the treatment of male urinary incontinence with the Remeex system.
abstract: OBJECTIVE
  To relate our experience in treating postprostatectomy stress urinary incontinence (SUI) with the male Remeex system (MRS). We also list the elements that comprise this system, the implantation technique and its proper adjustment. Similarly, we attempt to determine whether the latest changes made to this device, which constitute the MRS-II, have resulted in fewer mesh readjustments.
  
  
  METHODS
  From March 2007 to March 2014, we operated on 24 men with postprostatectomy SUI between the ages of 55 and 78 years (mean, 67 years), through the placement of a Remeex suburethral tension-adjustable sling. All patients had severe urinary incontinence, with considerable impact on their quality of life.
  
  
  RESULTS
  All patients, except for 2 who required the removal of the system, remained continent. Nine of the patients (39%) occasionally required incontinence pads when performing intense physical exercise. The mean number of adjustments was 2.4 (range 0-6). The score on the Incontinence Impact Questionnaire (IIQ 7) performed before the surgery and 6 months after, went from 79±7 points to 11±3, with a very high degree of satisfaction.
  
  
  CONCLUSIONS
  The MRS is a valid therapeutic option for postprostatectomy incontinence and is a reproducible technique that is easy to perform, has a low rate of complications and provides excellent and lasting results. There is also a clear trend towards reducing number of adjustments with the new MRS-II.
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: V
authors.initials: V
authors.lastname: Navalón-Monllor
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: F
authors.initials: F
authors.lastname: Ordoño-Domínguez
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: Y
authors.initials: Y
authors.lastname: Pallás-Costa
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: L A
authors.initials: LA
authors.lastname: Vilar-Castro
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: M E
authors.initials: ME
authors.lastname: Monllor-Peidro
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: J
authors.initials: J
authors.lastname: Juan-Escudero
authors.affiliation: Servicio de Urología, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España. Electronic address: pedronavalon@yahoo.com.
authors.forename: P
authors.initials: P
authors.lastname: Navalón-Verdejo
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D011468:Prostatectomy; D011474:Prosthesis Design; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Adjustable suburethral sling; Cabestrillo suburetral ajustable; Incontinencia urinaria masculina; Male urinary incontinence; Remeex