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Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence

Background: When conservative management fails, patients with stress urinary incontinence (SUI) are considered for surgical treatment. Simpler, more economical and less invasive surgical techniques, such as the Remeex(®) system, have been developed. Objectives: To analyze the objective effectiveness...

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Autores principales: Márquez-Sánchez, Gerardo-Alfonso, Padilla-Fernández, Bárbara-Yolanda, Perán-Teruel, Miguel, Navalón-Verdejo, Pedro, Valverde-Martínez, Sebastián, Márquez-Sánchez, Magaly-Teresa, Flores-Fraile, Javier, Lorenzo-Gómez, María-Fernanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156339/
https://www.ncbi.nlm.nih.gov/pubmed/34068891
http://dx.doi.org/10.3390/jcm10102121
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author Márquez-Sánchez, Gerardo-Alfonso
Padilla-Fernández, Bárbara-Yolanda
Perán-Teruel, Miguel
Navalón-Verdejo, Pedro
Valverde-Martínez, Sebastián
Márquez-Sánchez, Magaly-Teresa
Flores-Fraile, Javier
Lorenzo-Gómez, María-Fernanda
author_facet Márquez-Sánchez, Gerardo-Alfonso
Padilla-Fernández, Bárbara-Yolanda
Perán-Teruel, Miguel
Navalón-Verdejo, Pedro
Valverde-Martínez, Sebastián
Márquez-Sánchez, Magaly-Teresa
Flores-Fraile, Javier
Lorenzo-Gómez, María-Fernanda
author_sort Márquez-Sánchez, Gerardo-Alfonso
collection PubMed
description Background: When conservative management fails, patients with stress urinary incontinence (SUI) are considered for surgical treatment. Simpler, more economical and less invasive surgical techniques, such as the Remeex(®) system, have been developed. Objectives: To analyze the objective effectiveness of the Remeex(®) system in the treatment of male stress urinary incontinence. To study survival and complication rates of the Remeex(®) system in male SUI patients. Materials and methods: Prospective observational study between July 2015 and May 2020. Group A (n = 7; GA) patients with mild SUI. Group B (n = 22; GB) patients with moderate SUI. Group C (n = 18; GC) patients with severe SUI. Effectiveness was assessed by the number of patients achieving complete and partial dryness. Complete dryness was defined as patients using 0–1 safety pads per day; partial dryness as a >50% reduction in the number of pads used. Results were analyzed using descriptive statistics, Student’s t-test. Chi2, Fisher’s exact test, ANOVA, and multivariate analysis. Significance was set at p < 0.05. Results: Mean age 69.76 years, mean follow-up 33.52 months. Objective effectiveness was observed in 89.36% of patients with incontinence. The effectiveness was 85.71% in GA, 90.91% in GB and 88.89% in GC. There were no significant differences among groups (p = 1.0000). 34.04% of patients with an implant required at least one readjustment, while 66.00% did not require any. There were no significant differences among groups (p = 0.113) Chi2 = 4.352. 95.74% of implants remained in place by the end of follow-up. We observed complications in 17.02% of patients. Conclusions: Remeex(®) system is an effective and safe method for male stress urinary incontinence treatment, regardless of the severity of the incontinence, with high survival and low complication and removal rates. System readjustments are required in one-third of the cases.
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spelling pubmed-81563392021-05-28 Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence Márquez-Sánchez, Gerardo-Alfonso Padilla-Fernández, Bárbara-Yolanda Perán-Teruel, Miguel Navalón-Verdejo, Pedro Valverde-Martínez, Sebastián Márquez-Sánchez, Magaly-Teresa Flores-Fraile, Javier Lorenzo-Gómez, María-Fernanda J Clin Med Article Background: When conservative management fails, patients with stress urinary incontinence (SUI) are considered for surgical treatment. Simpler, more economical and less invasive surgical techniques, such as the Remeex(®) system, have been developed. Objectives: To analyze the objective effectiveness of the Remeex(®) system in the treatment of male stress urinary incontinence. To study survival and complication rates of the Remeex(®) system in male SUI patients. Materials and methods: Prospective observational study between July 2015 and May 2020. Group A (n = 7; GA) patients with mild SUI. Group B (n = 22; GB) patients with moderate SUI. Group C (n = 18; GC) patients with severe SUI. Effectiveness was assessed by the number of patients achieving complete and partial dryness. Complete dryness was defined as patients using 0–1 safety pads per day; partial dryness as a >50% reduction in the number of pads used. Results were analyzed using descriptive statistics, Student’s t-test. Chi2, Fisher’s exact test, ANOVA, and multivariate analysis. Significance was set at p < 0.05. Results: Mean age 69.76 years, mean follow-up 33.52 months. Objective effectiveness was observed in 89.36% of patients with incontinence. The effectiveness was 85.71% in GA, 90.91% in GB and 88.89% in GC. There were no significant differences among groups (p = 1.0000). 34.04% of patients with an implant required at least one readjustment, while 66.00% did not require any. There were no significant differences among groups (p = 0.113) Chi2 = 4.352. 95.74% of implants remained in place by the end of follow-up. We observed complications in 17.02% of patients. Conclusions: Remeex(®) system is an effective and safe method for male stress urinary incontinence treatment, regardless of the severity of the incontinence, with high survival and low complication and removal rates. System readjustments are required in one-third of the cases. MDPI 2021-05-14 /pmc/articles/PMC8156339/ /pubmed/34068891 http://dx.doi.org/10.3390/jcm10102121 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Márquez-Sánchez, Gerardo-Alfonso
Padilla-Fernández, Bárbara-Yolanda
Perán-Teruel, Miguel
Navalón-Verdejo, Pedro
Valverde-Martínez, Sebastián
Márquez-Sánchez, Magaly-Teresa
Flores-Fraile, Javier
Lorenzo-Gómez, María-Fernanda
Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence
title Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence
title_full Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence
title_fullStr Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence
title_full_unstemmed Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence
title_short Remeex(®) System Effectiveness in Male Patients with Stress Urinary Incontinence
title_sort remeex(®) system effectiveness in male patients with stress urinary incontinence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156339/
https://www.ncbi.nlm.nih.gov/pubmed/34068891
http://dx.doi.org/10.3390/jcm10102121
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