READJUSTABLE SLING PROCEDURES FOR TREATMENT OF IN FEMALE STRESS URINARY INCONTINENCE WITH INTRINSIC SPHINCTER DEFICIENCY Readjustable Sling Procedures for Treatment of in Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency

Propose: The REMEEX (Mechanical External Regulation;Neomedic International) sling as a bladder neck sling that allows adjustment of the sling tension in the postoperative period. We evaluated the early outcomes of Remeex procedures in the management of women in SUI patients by intrinsic sphincter deficiency (ISD). Materials and Methods: 20 women underwent Remeex procedures to treat stress urinary incontinence(SUI) and all patients had ISD. The patients were divided into three groups according to their preoperative Valsalva leak point pressure (VLPP) and maximum urethral closure pressure (MUCP): Parameters of evaluation included a comprehensive medical history, physical examination and urodynamic study that included determining the VLPP and MUCP, operation time and complication. Further, we asked about lower urianry tract symptoms (LUTSs) with using a female bladder questionnaire. After treatment, the same questionnaires were repeated. The objective and subjective success rate were evaluated during the postoperative period. Results: The mean age was 55.66±9.58 years and the mean follow-up period was 9.3 months (6-16 months) For the operation outcome results, in ISD all group no failures occurred and success rates ( cure + improvement ) was 100% (20 patients had ful l recovery). The postoperative satisfaction (including very satisfaction) rate of patients according to ISD group was 100% in the all group (p>0.05). Also, these results show that the REMEEX procedure improves LUTSs exception voiding pain in the all patients (p<0.05). Conclusions: We consider the REMEEX procedure to be an effective treatment female SUI with ISD.