Nuestra experiencia en el tratamiento de la incontinencia urinaria de esfuerzo masculina mediante cabestrillo suburetral regulable tipo Remeex

objectives: we show our experience in the treatment of post-prostatectomy stress urinary incontinence with the male remeex system (mrs). we also describe the elements of the system, its therapeutic indications, technical implantation and appropriate adjustment. methods: from march 2007 to january 2009 five male patients aged 57 to 71 years (mean age 66 yearsj with post-prostatectomy stress urinary incontinence were operated on to insert a suburethral readjustable sling (remeex). all patients had severe urinary incontinence with deterioration of their quality of life. the evolution period ranged from 2 to 10 years with an average of 3.5 years, requiring from 5 to 8 pads a day. results: all patients are continent after a mean follow up of 15.4 months (range 6-28 months). only two of them use one security pad when they perform physical efforts. the incontinence impact questionnaire (7) scores before surgery and 6 months after diminished from 68±7 to 10±3. all patients are very satisfied. conclusions: mrs is a valid therapeutic option for post-prostatectomy incontinence, being a reproducible technique, of easy execution, that allows readjustment through a suprapubic incision under local anesthesia as an outpatient procedure. it has a low complication rate with excellent and endured results.