What does the Remeex name mean?
Remeex means Readjustable Mechanical External device. This name represents the contribution of the Remeex System to the current medical field. Remeex is the first and only implantable system that regulates the tension of a suture thread reliably from outside the body, whenever necessary during patient’s life. The system has been developed to facilitate the surgeon's long term control of stress urinary incontinence. With the Remeex system, the surgeon always has the possibility to adjust the level of the sling support, not only during the surgical intervention, but after it, and whenever needed during patients lifetime.
Which patients are Remeex Prosthesis candidates?
All Stress urinary incontinence patients may benefit form the Remeex system. The Remeex system is the only system that can assure the desired urethral suspension level. It is the only one that gives the surgeon the ability to regulate the suspension level at any moment during patient's lifetime.
Is the Remeex system expensive in relation to other techniques?
It is important to analyse the limits of other surgical techniques and the advantages of implanting the Remeex system.
The Remeex system: 1. maximizes the intervention success; 2. minimizes the Hospital stay; 3. assures long term incontinence control; 4. it gives the doctor the ability of modify the sling supporting level whenever needed.
Taking in consideration these unique advantages, the price of the Remeex system is much more efficient that using other systems without this benefits.
How can we manage a post-surgical urinary retention?
It is important to leave the Remex system absolutely tension free at surgery to avoid a potential retention. If there is a post-surgical urinary retention, we can decrease the urethra suspension level by rotating the Manipulator counter clockwise and helping the urethral descent with a rigid catheter to overcome potential adherences. If needed, we will always be able to return to continence by re-adjusting the support level by rotating the manipulator clockwise.
What to do if we have post-surgical urinary incontinence?
We will feel the bladder with saline up to the first voiding sensation (250-300 cc), ask the patient to stand up and cough. We will apply three complete clockwise turns to the manipulator, and ask the patient to do Valsalva manoeuvres. If still incontinent, will apply three complete additional turns to the manipulator, and will repeat this manoeuvre up to the point the patient is continent.
When the patient is continent we know that the Remeex system is providing the minimal necessary support for that patient under stress. We can ask the patient to void and measure the residual in the bladder. If residual is 150cc or less, the adjustment will be finished and patient discharged. We can repeat this process whenever needed during patient’s lifetime.
How many days of hospitalization are required after a Remeex implantation?
The Remeex prosthesis implantation is a very similar to any other incontinence intervention. If the intervention has been done within the normal standards, and under regional anaesthesia, the patient can be discharged from the hospital the same day or the following day of the intervention.
How long is the maximum period during which you can regulate the sling support level?
There is no time limit to this adjustment. There are cases where with long term re-adjustments that have been made +10 years after the intervention.
How many years can the Remeex system assure the result?
The Remeex prosthesis has been successfully implanted since 1992, in all kinds of hospitals and patients. If a patient is incontinent, she can become continent again by reconnecting the manipulator and applying the required additional turns to the manipulator. This long term re-adjustments have been made in patients more than 10 years after surgery.