Adjustable Suburethral Sling (Male Remeex System®) in the Treatment of Male Stress Urinary Incontinence: A Multicentric European Study

Sousa-Escandón, Alejandro; Cabrera, Juan Carlos Moreno; Mantovani, F.; Moretti, Marco; Ioanidis, Evangelos; Kondelidis, N.; Neymeyer, J.; Noguera, Rui

doi:10.1016/j.eururo.2007.05.017

Cited by 161 publications

(97 citation statements)

References 23 publications

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“…In the case of failed prior mid-urethral sling placement, the tape shortening technique, which shortened the tape to give more tension, had a 60-70% success rate (5-7). In addition, the Remeex system that allows for tape tension adjustments after surgery was introduced and widely used (8). The latter two methods were based on the concept that tape tension would produce positive outcomes on continence after sling surgery.…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative maximal urethral closing pressure measurement: a new technique of tape tension adjustment in transobturator sling surgery?

et al. 2011

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Purpose: Tape tension adjustment is an essential procedure in mid-urethral sling surgery. The goal of this study was to determine if intraoperative maximal urethral closing pressure (MUCP) elevation could be used as a reference value for adequate tape tension adjustment and predict transobturator (TOT) sling surgery outcome. Materials and Methods: A prospective study was performed using MUCP measurements just before tape insertion and just after tension adjustment during surgery. Clinical data including preoperative urodynamic results were collected. The cure rate was determined by questionnaire. Patients were divided into two groups. The MUCP elevation group included patients with a MUCP elevation of more than 10 cmH 2 O before tape insertion; the others were regarded as the non-elevation group. The cure rate and pre-and postoperative clinical variables were compared between the two groups. Results: A total of 48 patients had TOT surgery. The MUCP elevation group (n=19) and the non-elevation group (n=29) were similar with regard to patient characteristics and the preoperative parameters including age, mixed incontinence prevalence, Q-tip angle, peak flow rate, MUCP and the valsalva leak point pressure (VLPP). The mean follow-up period was nine months. The cure rate was significantly higher in the group with MUCP elevation than in the non-elevation group (84% vs. 52%, p = 0.02). There was no significant difference in the mean postoperative peak flow rate between the two groups and there was no retention episode. Conclusions: MUCP elevation of more than 10 cmH 2 O just after tape insertion was a prognostic factor.

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Section: Discussionmentioning

confidence: 99%

“…These studies suggest the importance of tape tension in sling surgery. In addition, a tension adjustable sling system, such as the Remeex readjustable sling, was developed and widely used for repair of SUI (8). Therefore, providing the proper tension during surgery to render the patient continent, is now a focus of study.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative maximal urethral closing pressure measurement: a new technique of tape tension adjustment in transobturator sling surgery?

et al. 2011

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“…The varitensor is placed over the rectus fascia and allows adjustment of suburethral pressure from outside the body using an external manipulator. In a multicenter European prospective trial, Sousa-Escandon et al [92] reported results in 51 patients with moderate to severe incontinence. At a mean follow-up period of 32 months, 64.7% of patients were cured (no pads), and 19.6% had significant improvement.…”

Section: Adjustable Male Slingsmentioning

confidence: 99%

Post-prostatectomy incontinence: Etiology, evaluation, and management

Singla

2014

Turkish Journal of Urology

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Urinary incontinence after prostatectomy or radiation is a devastating problem in men and remains the most feared complication following the treatment of localized prostate cancer. With an increasing number of radical prostatectomies performed globally for prostate cancer, the impact of urinary incontinence on quality of life assumes an even greater importance. With the advent of male sling procedures, more men are now seeking treatment for incontinence. Since the introduction of the artificial urinary sphincter almost four decades ago, several surgical procedures have emerged to manage post-prostatectomy incontinence, including the male sling for milder forms of incontinence. Several of the newer procedures have shown promise in the United States; many others have been developed and utilized in other parts of the world, though they have not yet gained FDA approval in the United States. The present review seeks to illuminate the etiology, evaluation, and management of post-prostatectomy incontinence. An effort has been made to provide an algorithm to clinicians for appropriate surgical management. The surgical techniques of commonly performed procedures and their outcomes are described.

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“…Remeex from Neomedic [15] is a polypropylene sub-urethral sling connected to a supra-pubic regulator by a mono filament wire passed retropubically. Argus from Promedon [16] consists of a sub-urethral silicone foam pad directly in contact with the urethra and connected to the adjustment rings via retropubic or transobturator notched pipes.…”

Section: Adjustable Devicesmentioning

confidence: 99%

Treatment of Male Urinary Incontinence with An Adjustable Implantable Medical Device: Ustrap

Dubernard¹,

Pricaz²

2016

TOUNJ

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Adjustable Suburethral Sling (Male Remeex System®) in the Treatment of Male Stress Urinary Incontinence: A Multicentric European Study

Cited by 161 publications

References 23 publications

Intraoperative maximal urethral closing pressure measurement: a new technique of tape tension adjustment in transobturator sling surgery?

Intraoperative maximal urethral closing pressure measurement: a new technique of tape tension adjustment in transobturator sling surgery?

Post-prostatectomy incontinence: Etiology, evaluation, and management

Treatment of Male Urinary Incontinence with An Adjustable Implantable Medical Device: Ustrap

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