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"apellidos" => "Rincón Mayans" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Romero Vargas" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Zudaire Bergera" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578610701979?idApp=UINPBA00004N" "url" => "/21735786/0000003400000009/v1_201304251617/S2173578610701979/v1_201304251617/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "REMEEX<span class="elsevierStyleSup">®</span> system for the treatment of male urinary stress incontinence: Our experience" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "802" "paginaFinal" => "805" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.D. Jiménez Parra, J.L. Cebrián Lostal, A. Hualde Alfaro, S. Álvarez Bandrés, D. García García, L. Torres Varas, J.M. Jiménez Calvo, A.S. González de Garibay" "autores" => array:8 [ 0 => array:4 [ "nombre" => "J.D." "apellidos" => "Jiménez Parra" "email" => array:1 [ 0 => "jdjimenez@hotmail.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Cebrián Lostal" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Hualde Alfaro" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Álvarez Bandrés" ] 4 => array:2 [ "nombre" => "D." "apellidos" => "García García" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Torres Varas" ] 6 => array:2 [ "nombre" => "J.M." "apellidos" => "Jiménez Calvo" ] 7 => array:2 [ "nombre" => "A.S." "apellidos" => "González de Garibay" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología, Hospital Virgen del Camino, Pamplona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sistema REMEEX<span class="elsevierStyleSup">®</span> para el tratamiento de la incontinencia de esfuerzo masculina: nuestra experiencia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-03-27" "fechaAceptado" => "2010-04-24" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec86091" "palabras" => array:4 [ 0 => "Incontinence" 1 => "Treatment" 2 => "Sling" 3 => "Readjustable" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec86092" "palabras" => array:4 [ 0 => "Incontinencia" 1 => "Tratamiento" 2 => "Mallal" 3 => "Reajustable" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We evaluate the effectiveness of REMEEX<span class="elsevierStyleSup">®</span> (readjustable sling) for the treatment of male urinary stress incontinence (SUI).</p> <span class="elsevierStyleSectionTitle">Materials and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Between February 2007 and December 2009, 14 male patients with mild to severe SUI were operated with the use of the REMEEX<span class="elsevierStyleSup">®</span> system. The origin of incontinence was radical open prostatectomy (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>9), laparoscopic prostatectomy (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4) and TUR (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1). We evaluate postoperatively complications in three groups: intraoperatively, early complications (before 1 month) and late complications (after 1 month). Follow up was done at 1, 3, 6 and 12 months after intervention.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The mean age was 68.5 years (range: 62–71). The average follow-up time was 18.6 months (range: 10.1-35.2). The mean of readjustment was 3.7 (range: 1–6). Twelve patients were readjusted during the early period (24–72<span class="elsevierStyleHsp" style=""></span>h after intervention). The mesh was removed in 3 cases (21.4%) owing to infection in one and the others because patients didn’t want further system readjustment. There were four (28.5%) intraoperative bladder perforations. The most frequent early complication was acute urinary retention with five cases (35.7%). At one year of follow-up 41.7% of the patients are totally continent (5/12) and 33.3% presents light urinary incontinence (4/12).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The REMEEX<span class="elsevierStyleSup">®</span> system for the treatment of male SUI presents (in our experience) 75% of good results (continent patients or patients with light urinary incontinence) at the year of follow-up with a high rate of light complications.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Readjustments are frequent at the first six months after intervention and and intense follow up is necessary.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We need more studies that evaluate the long-term efficiency of this system.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Presentamos un estudio retrospectivo sobre los resultados obtenidos por nuestro servicio en el tratamiento de la incontinencia urinaria de esfuerzo masculina con el sistema REMEEX<span class="elsevierStyleSup">®</span>.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Entre febrero de 2007 y diciembre de 2009 se intervinieron con el sistema REMEEX<span class="elsevierStyleSup">®</span> 14 pacientes varones diagnosticados de incontinencia urinaria de esfuerzo moderada-severa. El origen de la incontinencia fue secundario a prostatectomía radical abierta (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>9), laparoscópica (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4) y RTU prostática (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1). Evaluamos las complicaciones obtenidas en tres grupos: intraoperatorias, precoces (menos de 1 mes) y tardías (más de 1 mes). Evaluamos el estado de los pacientes tras 1, 3, 6 y 12 meses de seguimiento.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">La mediana de edad fue de 68,5 años (rango: 62–71). El tiempo mediano de seguimiento fue de 18,6 meses (rango: 10,1–35,2). La media de reajustes fue de 3,7 (rango: 1–6). Un total de 12 pacientes fue reajustado en el postoperatorio inmediato (24–72<span class="elsevierStyleHsp" style=""></span>h tras la intervención). En tres ocasiones (21,4%) fue necesario retirar todo el sistema, uno por infección precoz y dos porque no deseaban más reajustes. La complicación intraoperatoria más frecuente fue la perforación vesical con 4 casos (28,5%). La complicación precoz más encontrada fueron 5 episodios de retención aguda de orina (35,7%). Al año, un 41,7% de los pacientes está totalmente continente (5/12) y un 33,3% presenta leves escapes (4/12).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">El sistema REMEEX<span class="elsevierStyleSup">®</span> para la incontinencia urinaria masculina, según nuestra experiencia, presenta un porcentaje de éxito al año (pacientes continentes o con mínimos escapes) del 75%, con una alta incidencia de complicaciones menores.</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Los reajustes, sobre todo durante los primeros seis meses, son frecuentes y es necesario un estrecho seguimiento.</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Necesitamos trabajos que evalúen la efectividad de este sistema a más largo plazo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Abrams P, Andersson KE, Artibani W, Brubaker L, Cardoso L, Castro D, et al. Recommendations of the International Scientific Committee: In: 2nd International Consultation on Incontinence. Surgical treatment of urinary incontinence in men. Paris:2002.(11B)." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prospective study evaluating efficacy and safety of Adjustable Continence Therapy (ProACT) for post radical prostatectomy urinary incontinence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F. Trigo-Rocha" 1 => "C.M. Gomes" 2 => "A.C. Pompeo" 3 => "A.M. Lucon" 4 => "S. Arap" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2005.11.011" "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2006" "volumen" => "67" "paginaInicial" => "965" "paginaFinal" => "969" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16698356" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Adjustable suburethral sling (Male Remeex System) in the treatment of male stress urinary incontinence: A multicentric European study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Sousa-Escandon" 1 => "J. Cabrera" 2 => "F. Mantovani" 3 => "M. Moretti" 4 => "E. Ioanidis" 5 => "N. Kondelidis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eururo.2007.05.017" "Revista" => array:6 [ "tituloSerie" => "Eur Urol" "fecha" => "2007" "volumen" => "52" "paginaInicial" => "1473" "paginaFinal" => "1480" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17560016" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The treatment of postprostatectomy incontinence with the retroluminal transobturator repositioning sling (advance R): Lessons learnt from accumulative experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Rehder" 1 => "G. Freiin von Gleissenthall" 2 => "R. Pichler" 3 => "B. Glodny" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Esp Urol" "fecha" => "2009" "volumen" => "62" "paginaInicial" => "860" "paginaFinal" => "870" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20068263" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Herschorn S, Baverstock R, Buencamino D. Comparison of the artificial urinary sphincter and the perineal male sling in the management of post-radical prostatectomy stress incontinence [abstract 447] 2004. Presented at the International Contience Society Congress. Paris, France." ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Artificial urinary sphincter vs. bone anchored male sling for post-radical prostatectomy urinary incontinence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Singla" 1 => "N. Aggarwal" 2 => "M. Samli" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Urology" "fecha" => "2006" "volumen" => "68" "numero" => "suppl" "paginaInicial" => "69" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An adjustable male sling for treating urinary incontinence after prostatectomy: A phase III multicentre trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.V. Romano" 1 => "S.E. Metrebian" 2 => "F. Vaz" 3 => "V. Muller" 4 => "C.A. D’Ancona" 5 => "D.E. Costa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1464-410X.2006.06002.x" "Revista" => array:6 [ "tituloSerie" => "BJU Int" "fecha" => "2006" "volumen" => "97" "paginaInicial" => "533" "paginaFinal" => "539" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16469021" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000003400000009/v1_201304251617/S2173578610701980/v1_201304251617/en/main.assets" "Apartado" => array:4 [ "identificador" => "6476" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Short original – Voiding disfunction" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000003400000009/v1_201304251617/S2173578610701980/v1_201304251617/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578610701980?idApp=UINPBA00004N" ]
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REMEEX® system for the treatment of male urinary stress incontinence: Our experience
Sistema REMEEX® para el tratamiento de la incontinencia de esfuerzo masculina: nuestra experiencia
J.D. Jiménez Parra
, J.L. Cebrián Lostal, A. Hualde Alfaro, S. Álvarez Bandrés, D. García García, L. Torres Varas, J.M. Jiménez Calvo, A.S. González de Garibay
Autor para correspondencia
Servicio de Urología, Hospital Virgen del Camino, Pamplona, Spain