FRANCO MANTOVANI 1,
1 Clinica Sangiovanni - Milano, Urologia
Objective: a single operator long term (15 years) experience on a sling technique that allows a postoperative adjustment of its tension is presented to retrospectively report the objective and subjective outcomes in the treatment of female stress urinary incontinence (SUI). The readjustment option prevents the need of a reoperation in case of relapse with great compliance of the patients.
Materials and Methods: indications for surgical treatment of SUI by ReMeEx included patients affected with intrinsic sphyncteric deficency (ISD), fixed urethra but also mild urethral hypermobility, previous incontinence surgery and relapsing conditions such as diabetics and obesity. 55 female patients with severe SUI underwent ReMeEx system positioning between 1998 and 2013.
Results: out of 55 patients treated, 50 were cured with readjustment in 10; in one case the device was removed for infection. Complications as 1 transitory retention, 2 de novo urgency and 1 sovrapubic varitensor seroma were easily treated.
Conclusions : ReMeEx system offers the possibility to modify, the sling support whenever needed during patients' life. By this device we can improve the outcomes of these patients leaving them completely dry without reoperations. The system produced remarkable 15- years results with a low complication rate.