Male Stress Urinary Incontinence: Mild, Moderate or Severe.
When a man is suffering Stress Urinary Incontinence, one of the most important things to define is the level of incontinence of the patient, because this information will guide surgeon to decide the best treatment option to achieve continence again with reliable and durable results.
Nowadays, patients with Mild Incontinence (less than 250 gr. Pad Test 24 hours) may be treated with a Non adjustable suburethral sling, and patients with Severe Incontinence (Over 500 gr. Pad Test 24 hours) are treated with an Artificial Urinary Sphincter (AUS).
Surgeon’s often are implanting a non adjustable sling to the 50% of the Moderate patients and a Sphincter to the other 50%. This situation is causing that some patients with a sling in a Moderate situation are receiving an insufficient treatment option for their incontinence degree; and some patients with the same grade of urine leakage, are undergoing a too invasive intervention with a permanent implant and non physiological urination without a real need of this.
MRS Remeex: A unique solution for Moderate cases.
The MRS II Remeex sling is the Lifetime Re-Adjustable sling. It is placed in a retropubic surgery, as a regular sling, and it provides the exact sling tension, adapted to each patient needs. With the Remeex System surgeon can easily adjust the sling urethral support whenever needed during patient’s lifetime.
Moderate Incontinence patients are the most complicated ones. A sling usually is not able to solve these cases, and published results confirm this reality. These failed patients must be re-operated again with the corresponding harm to the patient and no success guarantee.
An Artificial Urinary Sphincter is the last option for Male Stress Urinary Incontinence (it is not free of colateral effects and complications). It is the gold standard solution for severe incontinent patients, but patients with a Moderate level of urine leakage don’t need an AUS to solve this problem.
With the MRS Remeex, if the patient is leaking involuntarily again, months or even years after the intervention, surgeon will be able to readjust it and the patient will regain continence again. Patient will void physiologically.