TRT System - FAQs

 

 

 

INDICATIONS

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. This 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 prosthesis, the surgeon always has the possibility to regulate the level of the sling support, not only during the surgical intervention, but after it, and whenever needed due to any physical change that may lead to a new urinary incontinence situation.

 

Which patients are Remeex Prosthesis candidates?

All Stress urinary incontinence patients that are candidates to be adjusted by urethral tract suspension or elevation. 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 life.

Is the Remeex system expensive in relation to other techniques, where only suturing thread is used?
We have to know the limits of other surgical techniques in which only suturing thread is used, 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.

 

SURGERY

How can we manage a post-surgical urinary retention?

It is important not to over-elevate the suspension level to avoid a potential retention. The intervention objective is, by placing Remeex prosthesis, to solve the incontinence without creating a urinary retention situation. But if there is a post surgical urinary retention, we can decrease the urethra suspension level by rotating the Manipulator counterclockwise and at the same time pulling down the urethra 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 later on.

What to do if we have post-surgical urinary incontinence?
This is the ideal situation. 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 maneuvers again. If still incontinent, will apply three complete additional turns to the manipulator, and will repeat this maneuver 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 125cc or less, the adjustment will be finished and patient discharged. We can repeat this process whenever needed during patient’s lifetime.

 

OUTCOMES

How many days of hospitalization are required after a Remeex implantation?
The Remeex prosthesis implantation is a very minimal invasive vaginal procedure. If the intervention has been done within the normal standards, and under regional anesthesia, 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 regulation. The sling is short enough not to produce long fibrosis that may impede the urethral elevation. There are cases where a post surgical regulation has been made 8 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, with excellent results. If a patient is incontinent, we can convert her to continence only by reconnecting the manipulator and applying some additional turns to the manipulator. Success is lifetime achievable by using the system benefits.