{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:57:30Z","timestamp":1792108650250,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,11,11]],"date-time":"2017-11-11T00:00:00Z","timestamp":1510358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the outcomes and complications at long\u2010term follow\u2010up after a Remeex re\u2010adjustable sling for recurrent stress urinary incontinence (rSUI) and intrinsic sphincteric deficiency (ISD) in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred thirty women with SUI were evaluated after undergoing a re\u2010adjustable sling operation. Twenty\u2010five patients were lost to follow\u2010up, 205 were classified by Q\u2010tip, urodynamic, and clinical criteria into ISD (109) and rSUI (96). Outcome measures included number of pads, 1\u2009h pad\u2010test, urodynamics and subjective satisfaction index with the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After a mean follow\u2010up of 89 months (26\u2010159), 165 patients were cured of SUI (71.7% in the intention to treat analysis (itt), 80.5% in per protocol analysis (pp)). Forty patients remained incontinent (17.4% in itt, 19.5 in pp). Thirty\u2010one patients (15.1%) had detrusor overactivity (DH) incontinence, 21 (10.2%) with de\u2010novo DH and 10 with previous urodynamic mixed incontinence. Eighty\u2010eight patients required re\u2010adjustment of the sling during the follow\u2010up. The tension was increased in 82 cases due to recurrence of SUI and reduced in six due to outlet obstruction. The overall complications rate was 28.8%, (3.4% clavien III).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Remeex re\u2010adjustable sling provides a good cure rate for rSUI and ISD at long\u2010term follow\u2010up. The complications rate is acceptable since most complications are clavien II. The ability to re\u2010adjust the sling tension during the follow\u2010up allowed us to achieve cure for recurrence after the initial procedure, and to relieve obstruction in every case attempted.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23444","type":"journal-article","created":{"date-parts":[[2017,11,11]],"date-time":"2017-11-11T12:39:02Z","timestamp":1510403942000},"page":"1349-1355","source":"Crossref","is-referenced-by-count":20,"title":["A re\u2010adjustable sling for female recurrent stress incontinence and intrinsic sphincteric deficiency: Long\u2010term results in 205 patients using the Remeex sling system"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0284-6937","authenticated-orcid":false,"given":"Carlos","family":"Errando\u2010Smet","sequence":"first","affiliation":[{"name":"Female and Functional Urology Unit +Urology Department. Fundaci\u00f3 Puigvert Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina Guti\u00e9rrez","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Female and Functional Urology Unit +Urology Department. Fundaci\u00f3 Puigvert Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Ara\u00f1\u00f3","family":"Bertr\u00e1n","sequence":"additional","affiliation":[{"name":"Female and Functional Urology Unit +Urology Department. Fundaci\u00f3 Puigvert Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humberto Villavicencio","family":"Mavrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,11]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"BurkhardFC LucasMG BerghmansLC et al. EAU guidelines on urinary incontinence 2016. EAU guidelines pp36\u201344."},{"key":"e_1_2_8_3_1","unstructured":"AppellRA DmochowskiRR BlaivasJMet al. Guideline for the surgical management of female stress urinary incontinence: 2009 Update Revised 2012. AUA guidelines pp 20\u201030."},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","unstructured":"BakaliE BuckleyBS HiltonP et al. Treatment of recurrent stress urinary incontinence after failed minimally invasive synthetic suburethral tape surgery in women. Cochrane Database of Systematic Reviews 2013 Issue 2. Art. 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