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NEUROLOGY AND NEURODYNAMICS

Our experience in the treatment of male stress urinary incontinence with the male remeex system.
Pedro Navalón Verdejo, Yoni Pallás Costa, Felipe Ordoño Domínguez, Elisa Monllor Peidro, Joaquín Juan Escudero, Macarena Ramos de Campos and Francisco Sánchez Ballester.

JOURNAL
Tomo 63. Número 06 - Julio-Agosto 2010

REFERENCE
Arch. Esp. Urol. 2010; 63 (6): 432-439

KEYWORDS
Adjustable male sling. Male urinary incontinence. Remeex.

OBJECTIVES
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 post-prostatectomy 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 Incontinen-ce 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.




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