Readjustable midurethral sling (REMEEX system) in obese women

• Published in: Investigative and clinical urology Vol. 60; no. 6; pp. 488 - 495
• Main Authors: Kim, Woong Bin, Lee, Sang Wook, Lee, Kwang Woo, Kim, Jun Mo, Kim, Young Ho, Kim, Min Eui
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Urological Association 01.11.2019; Korean Urological Association; 대한비뇨의학회
• Subjects: Female; Humans; Middle Aged; obesity; Obesity - complications; Original; Patient Satisfaction; Prosthesis Design; Prosthesis Fitting; Remission Induction; Retrospective Studies; Suburethral Slings; Treatment Outcome; urinary incontinence; Urinary Incontinence, Stress - complications; Urinary Incontinence, Stress - surgery; 비뇨기과학; Urinary incontinence; Obesity; Suburethral slings
• ISSN: 2466-0493; 2466-054X; 2466-054X
• DOI: 10.4111/icu.2019.60.6.488

To evaluate the success rate and patient satisfaction with the readjustable midurethral sling (REMEEX system) for the treatment of stress urinary incontinence (SUI) with intrinsic sphincter deficiency (ISD) or recurrent SUI in obese and non-obese women. Between August 2009 and August 2015, 70 patients who treated with the REMEEX system were stratified into normal, overweight and obesity groups according to body mass index. Objective surgical outcomes were evaluated using a 1-hour pad test that was performed 3 months after surgery. The subjective outcomes and degree of patient satisfaction were evaluated 3 months and 1 year after surgery. Twenty-six normal weight, 31 overweight, and 13 obese women were included in the study. The objective cure rate determined using the 1-hour pad test revealed that 11 women (42.3%) were cured and 15 (57.7%) had improved in the normal weight group, respectively, compared with 16 (51.6%) and 15 (48.4%) in the overweight group and 6 (46.2%) and 7 (53.8%) in the obese group, respectively (p=0.78). One year after surgery, the subjective success rate was 91.5% in the normal weight group, 93.5% in the overweight group and 92.3% in the obese group. A total of 84.7%, 77.4%, and 77.0% of normal weight, overweight and obese women were very satisfied or satisfied 1 year after surgery, respectively. All groups showed similar success rates and satisfaction. The REMEEX procedure is equally effective in obese and normal weight women with ISD-type SUI or recurrent SUI.