Leizour B, Chevrot A, Wagner L, Droupy S, Costa P
Service d'urologie-andrologie, CHU de Nîmes, place du Pr R. Debré, 30029 Nîmes, France.
Service d'urologie-andrologie, CHU de Nîmes, place du Pr R. Debré, 30029 Nîmes, France.
Prog Urol. 2017 Mar;27(4):238-243. doi: 10.1016/j.purol.2016.11.006. Epub 2016 Dec 30.
To evaluate the efficacy and safety of the adjustable suburethral sling Remeex in the treatment of male stress urinary incontinence (SUI).
Single-center prospective study of patients treated for SUI after radical prostatectomy or transurethral resection of prostate. The severity of incontinence was evaluated by the number of pads used per day. Success rate, complications and number of adjustments were studied.
From February 2011 to May 2015, Remeex was implanted in 25 patients. The average preoperative number of pads used per day was 3,8 (±1,8). Sling tension has been adjusted the day after surgery in all patients. Mean follow-up was 31 months (±15). During follow-up, 6 patients did not need any readjustment (24%) and 15 patients (60%) had to be readjusted. One Remeex system had to be completely removed because of a sub-occlusive syndrome. Three patients had early infection requiring partial system removal (Varitensor). At the end of follow-up, 9 patients were cured (36%), 9 patients (36%) were significantly improved and 7 patients (28%) were not improved. Five patients are waiting for a new readjustment.
In this short series of patients who had prostatic surgery, at mid-term follow-up, the placement of a BSUA-R was associated with an improvement or cure of urinary incontinence symptoms in two-thirds of cases.
评估可调节尿道下吊带Remeex治疗男性压力性尿失禁（SUI）的疗效和安全性。
对接受根治性前列腺切除术或经尿道前列腺切除术治疗SUI的患者进行单中心前瞻性研究。通过每天使用的尿垫数量评估尿失禁的严重程度。研究成功率、并发症及调整次数。
2011年2月至2015年5月，25例患者植入了Remeex。术前平均每天使用尿垫3.8块（±1.8）。所有患者术后次日均调整了吊带张力。平均随访31个月（±15）。随访期间，6例患者无需任何再次调整（24%），15例患者（60%）需要再次调整。1个Remeex系统因亚闭塞综合征不得不完全移除。3例患者早期感染，需要部分移除系统（Varitensor）。随访结束时，9例患者治愈（36%），9例患者（36%）显著改善，7例患者（28%）未改善。5例患者等待再次调整。
在这组接受前列腺手术的短期患者系列中，中期随访时，三分之二的病例中放置BSUA-R与尿失禁症状的改善或治愈相关。
4级。
