Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction

Purpose: We investigated the efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction. Materials and Methods: From May 2007 to December 2015, 151 women received the Remeex system. We excluded patients who presented wit...

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Main Authors: Jae-Wook Chung, Eun Sang Yoo
Format: Article
Language:English
Published: Korean Urological Association 2017-03-01
Series:Investigative and Clinical Urology
Subjects:
Online Access:https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-127.pdf
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author Jae-Wook Chung
Eun Sang Yoo
author_facet Jae-Wook Chung
Eun Sang Yoo
author_sort Jae-Wook Chung
collection DOAJ
description Purpose: We investigated the efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction. Materials and Methods: From May 2007 to December 2015, 151 women received the Remeex system. We excluded patients who presented with pelvic organ prolapse and/or who missed the regular follow-up. Finally, 102 patients were included in the study, and we divided them into 2 groups: group A (n=74), who did not present with female voiding dysfunction and group B (n=28), who presented with female voiding dysfunction. Female voiding dysfunction was defined as a maximal flow rate≤12 mL/s when the voided volume was ≥150 mL on preoperative uroflowmetry. We retrospectively reviewed the patients’ medical records and compared surgical outcomes between groups A and B. Results: There were no significant differences in subjective surgical outcomes and patient satisfaction between the 2 groups. Postoperative uroflowmetry showed that the maximal flow rate and voided volume decreased and the postvoid residual urine volume increased in both groups, and these changes were not significantly different between groups. The overall complication rate was 21.6% (22 of 102), and the complication rate was not significantly different between the 2 groups according to the modified Clavien-Dindo classification. Conclusions: The Remeex system is efficacious and safe for stress urinary incontinence with female voiding dysfunction.
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spelling doaj.art-925809fbd893466f8d6a380c1c81d3412022-12-21T17:49:35ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2017-03-0158212713310.4111/icu.2017.58.2.127Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunctionJae-Wook Chung0Eun Sang Yoo1Kyungpook National University School of MedicineKyungpook National University School of MedicinePurpose: We investigated the efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction. Materials and Methods: From May 2007 to December 2015, 151 women received the Remeex system. We excluded patients who presented with pelvic organ prolapse and/or who missed the regular follow-up. Finally, 102 patients were included in the study, and we divided them into 2 groups: group A (n=74), who did not present with female voiding dysfunction and group B (n=28), who presented with female voiding dysfunction. Female voiding dysfunction was defined as a maximal flow rate≤12 mL/s when the voided volume was ≥150 mL on preoperative uroflowmetry. We retrospectively reviewed the patients’ medical records and compared surgical outcomes between groups A and B. Results: There were no significant differences in subjective surgical outcomes and patient satisfaction between the 2 groups. Postoperative uroflowmetry showed that the maximal flow rate and voided volume decreased and the postvoid residual urine volume increased in both groups, and these changes were not significantly different between groups. The overall complication rate was 21.6% (22 of 102), and the complication rate was not significantly different between the 2 groups according to the modified Clavien-Dindo classification. Conclusions: The Remeex system is efficacious and safe for stress urinary incontinence with female voiding dysfunction.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-127.pdfFemale; Midurethral sling; Stress urinary incontinence
spellingShingle Jae-Wook Chung
Eun Sang Yoo
Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
Investigative and Clinical Urology
Female; Midurethral sling; Stress urinary incontinence
title Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
title_full Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
title_fullStr Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
title_full_unstemmed Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
title_short Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
title_sort efficacy and safety of a readjustable midurethral sling remeex system for stress urinary incontinence with female voiding dysfunction
topic Female; Midurethral sling; Stress urinary incontinence
url https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-127.pdf
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AT eunsangyoo efficacyandsafetyofareadjustablemidurethralslingremeexsystemforstressurinaryincontinencewithfemalevoidingdysfunction