IMR Press / CEOG / Volume 49 / Issue 9 / DOI: 10.31083/j.ceog4909193
Open Access Original Research
The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
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1 Department of Urology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 14584 Bucheon, Republic of Korea
2 Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 04401 Seoul, Republic of Korea
3 Department of Biostatistics, Clinical Trial Center, Soonchunhyang University Bucheon Hospital, 14584 Bucheon, Republic of Korea
4 Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31151 Cheonan, Republic of Korea
*Correspondence: yhkuro@schmc.ac.kr (Young Ho Kim)
Academic Editor: Ambrogio Pietro Londero
Clin. Exp. Obstet. Gynecol. 2022, 49(9), 193; https://doi.org/10.31083/j.ceog4909193
Submitted: 4 March 2022 | Revised: 25 April 2022 | Accepted: 26 April 2022 | Published: 24 August 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Objective: To compare the therapeutic efficacy after suburethral adjustable sling (Remeex system) for female stress urinary incontinence (SUI) between pure intrinsic s phincter deficiency (ISD) and ISD with overactive bladder (OAB) group. Methods: The study subjects were 86 female patients with ISD who underwent Remeex system to treat female SUI and who were available for 12 months follow-up. We retrospectively studied both patients who underwent Remeex system due to pure ISD (group I) and those who underwent Remeex system due to ISD with OAB (group II). Improvement in objective and subjective symptoms were retrospectively evaluated using a 1hr pad weight test, global response assessment (GRA) and overactive bladder symptom score (OABSS). Results: Group I included 43 patients and group II included 43 patients of mean ages 56.8 ± 7.5 and 57.4 ± 6.6 years, respectively. Use of 1 hr pad weight test showed that incontinence decreased after the procedures in both groups, and that of group I patients was significantly lower than that of group II patients. The mean GRA score was significant a higher score in group I. The OABSS of patients in group II were 8.2 ± 1.1 and 7.2 ± 1.1, respectively, before and at 12 months after operation, did differ significantly. The mean change of OABSS of group II patients was significantly more decreased than that of group I patients. Conclusions: The Remeex system showed a greater patient satisfaction and a higher cure rate in pure ISD than ISD with OAB in female patients with urinary incontinence.

Keywords
suburethral slings
urinary incontinence
urinary sphincter
overactive bladder
female
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