The right way to treat Male Stress Urinary Incontinence according to the level of incontinence

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).

MRS Remeex, the best treatment option for Moderate Incontinent patientsThe problem with Moderate incontinent patients

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.

Lifetime Re-Adjustable slign for Male Stress Urinary IncontinenceAn 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.

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Adjustment of the sling 10 years after the intervention

Continence can be easily regained whenever needed

Since more than 20 years ago, the TRT Remeex System is an established reality in the Female Stress Urinary Incontinence products market. It is the only existing solution that allows a lifetime re-adjustment of the sling urethral support; it means that patient can be adjusted whenever needed during her life, without re-operating, avoiding failures and all the associated problems related with failed interventions and repeated surgeries.

Lifetime re-adjustability of the sling urethral support with the TRT Remeex System. Surgeon can adjust the sling whenever needed during patient’s lifetime, without re-operating again the patient in case of sling failure.

SUI patients, treated with Remeex System, can be continent always, because if some day, for any reason they start leaking again, surgeon can adjust the sling support and patient will regain continence again.

The lifetime re-adjustable sling for Female Stress Urinary IncontinenceSix adjustments 10 years after the intervention

This year, six patients that where operated between 2001 and 2004 have been easily re-adjusted and have regained continence.

Dr. Laucirica in Barcelona (Spain) and Dr. Sousa in Lugo (Spain) have performed successfully these adjustments at their hospitals. These are the greatest long-term re-adjustments ever done, and have really helped these women that, with another sling, they must have been reoperated.

The vast majority of women that have undergone TRT Remeex intervention, have had only the post-op re-adjustment. But if days, weeks, months, years, even decades after, they become incontinent, with a simple re-adjustment of the sling urethral support, they will enjoy a continent life again.

Also for Male Stress Urinary Incontinence

The Remeex System is also available for Male Incontinence. The MRS II Remeex System has the same features than the TRT Remeex, and it has been designed to treat Incontinence, from Moderate to Severe cases.

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KIM sling for Female Incontinence. The importance of being Knotless.

When looking in the Urinary Incontinence sling market, we can find a huge variety of solutions, very different between ones and anothers in quality, shape, sizes… But there is one mesh that has a unique and necessary property that any other device in the market has: the KIM System, the Knotless Incontinence Mesh.

KIM sling for Female SUI - KNOTLESS

The importance of being Knotless:

– Less Infection Risk: The absence of knots means that the mesh will be completely macroporus (there will be no microporus within the knotts). If a mesh is truly macroporus, the macrophages will be able to enter in every corner of the mesh, reducing the infection risk. When a mesh has knots (all market meshes has knots), it will have Microporus within the knots corners where the bacteria may anidate and the macrophages will not be able to pass through.

KIM Knotless sling for Female Stress Urinary Incontinence– Less Erosion Risk: 
Knots increase roughness of the mesh and produce erosion and extrusion  because every movement can cause friction and the consequent tissue erosion and pain. The risk of erosion is also reduced by the smooth edges of the sling, this properties at allow a painless placement and adjustment of the mesh, with a better and sooner post-op recovery for the patient. The knot volume will create more inflammatory reaction and lower tissue integration process.

More KIM sling features:

The KIM sling properties:

NO KNOTS:

– Less Roughness = Less Erosion
– Less Material = Better Tissue Ingrowth
– No Microporous = Less Infection

MICROELASTIC

– Better Tissue Adaptbility
– Less Erosion

MACRORIGID

– Better Traction Transmission
– No Elongation

SHAPE MEMORY

– Avoids Deformation
– Higher Effectiveness

[vimeo 73862267 w=500 h=375]
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American Urogynecological Association Position Statement on the Restriction of Surgical Options for Pelvic Floor Disorders

The American Urogynecological Association (AUGS) position about Transvaginal Mesh Implants situation and how health insurances and medical organizations must be acting, for the sake of patients.

Click to read AUGS President’s Perspective about this issue.

AUGS Statements Transvaginal Mesh Implants

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Neomedic in the EAU 2013 in Milano

Presentation in the EAU Annual Congress 2013 in Milan of the Male Remeex System (MRS) Re-adjustable sling for Male SUINeomedic International has participated in the European Association of Urology Annual Congress (EAU 2013), that has taken place in the city of Milan, from 15th to 19th of March. Taking advantage of this excellent opportunity, many urologists, urogynecologists and other medical professionals have stopped at our booth and have known the advantages that offer Neomedic International’s products for urinary incontinence and prolapse.

Official presentation of Male Remeex System

During the Congress has taken place the official presentation in Italy of the re-adjustable sling for Male Urinary Incontinence, the MRS II Remeex System. This incontinence solution was presented and demonstrated to the visitors.

The MRS II System is a great solution to Male SUI, because surgeon can re-adjust the urethral support of the sling, without re-operating, at any moment in patient’s lifetime to assure continence.

 

Uplift Laparoscopic Vaginal Vault Prolapse repair

Uplift Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse repair

Other interesting events that has taken place in this EAU Annual Congress 2013, and for the first time in Italy, has been the Uplift System presentation. It is a laparoscopic solution for Vaginal Vault Prolapse, that helps surgeon to save time on the intervention, because has less sutures, and an anchoring device to fix the mesh in the sacrum promontorium.

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