Section of Gynaecology and Obstetrics, Department of Surgery, School of Medicine, Tor Vergata University Hospital, University of Rome Tor Vergata, Viale Oxford 81, 00133, Rome, Italy

We present 1-year results obtained with Reemex for the cure of intrinsic sphincter deficiencies (ISDs). We recruited all patients with primary cases of stress urinary incontinence (SUI) due to an ISD (Valsalva leak-point pressure less than 60 cm or maximal urethral closure pressure less than 20 cm) who did not receive previous surgery. Thirty-eight patients were operated on. Postoperative pain was 3 (range, 1-5, visual analogue scale) at 24 h from surgery. Immediate regulation (the day after surgery) was necessary in three of 38 patients (7.9%), two for obstructive voiding difficulties and one for incontinence. Late regulation was necessary in three of 38 patients (7.9%), two for obstructive voiding difficulties (after 6 months) and one for incontinence (1 year). Symptoms resolved after the sling adjustment. Our results suggest that sling adjustments resolve postoperative failures and maintain the success rate of the Reemex system even in the midterm.

Written by
Araco F, Gravante G, Dati S, Bulzomi' V, Sesti F, Piccione E.

Reference
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Dec 11 [Epub ahead of print]
doi:10.1007/s00192-007-0523-5

PubMed Abstract
PMID:18071617

UroToday.com Stress Urinary Incontinence (SUI) Section

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