Resumen

NAVALON VERDEJO, Pedro et al. Our experience in the treatment of male stress urinary incontinence with the male Remeex system. Arch. Esp. Urol. [online]. 2010, vol.63, n.6, pp.432-439. ISSN 0004-0614.

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 yearsj 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 Incontinence 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.

Palabras clave : Adjustable male sling; Male urinary incontinence; Remeex.

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