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Ginecología y obstetricia de México

versão impressa ISSN 0300-9041


GOMEZ, Mauricio et al. 4-year experience with the use of readjustable tape for stress urinary incontinence. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.7, pp.479-485.  Epub 31-Out-2023. ISSN 0300-9041.


To describe the experience with the readjustable sling Remeex® in patients with recurrent stress urinary incontinence as a treatment alternative.


Retrospective, observational, case series study carried out in a single center in the city of Medellin, Colombia, in patients attended at the Urogynaecology Unit of the Bolivarian University Clinic. Inclusion criteria: women over 18 years of age, with a diagnosis of recurrent urinary incontinence after one or more failed surgeries to correct urinary incontinence or with a diagnosis of intrinsic sphincter deficiency who underwent the readjustable sling procedure (Remeex Female Neomedic) between 2016 and 2019.


Nineteen patients were evaluated with mean age 62 years (SD ± 9). The median follow-up was 19.4 months (RIQ 10-26.5). All patients had preoperative urodynamics that confirmed the diagnosis of stress urinary incontinence. All 19 patients had a diagnosis of moderate-severe-recurrent urinary incontinence, 4 with detrusor hypoactivity and 1 with intrinsic sphincter deficiency. Of the 19 patients, 10 underwent surgery for correction of concomitant pelvic organ prolapse, which were distributed as follows: 6 patients with anterior or posterior colporrhaphy, 3 colpocleisis and 1 sacrocolpopexy by laparotomy.


The readjustable sling is a good option for women with previous anti-incontinence interventions with recurrence in whom improvement in the degree of incontinence in relation to the initial one was demonstrated, a benefit that was reflected in better quality of life.

Palavras-chave : Stress urinary incontinence; Colombia; Middle aged; Urodynamicas; Quality of life; Laparotomy; Prolapse.

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