To evaluate the long-term outcomes of the REMEEX systemⓇ (EXternal MEchanical REgulation, Neomedic International, Terrassa (Barcelona), Spain) for treatment of recurrent urinary incontinence (UI) and intrinsic sphincteric deficiency (ISD).

A total of 24 (mean age, 67.2±7.4 years) patients who underwent REMEEX systemⓇ for UI and ISD were included and followed up for at 10 years postoperatively. Patients were categorized into failed UI (Group A, 9 patients) and ISD (Group B, 15 patients). The success rate of patients after surgery was assessed by cure and satisfaction rate. Clinical, urodynamic, peri and post-operative data with respect to success rates were analyzed.

The mean follow-up period was 120.4 months (range 117-130). At 10 years after surgery, the overall cure rates with REMEEX systemⓇ (Group A/Group B) were 82.4%/71.1%, with a satisfaction rate of 78.1%/65.4% in group A and B, respectively. Three patients (12.5%) experienced wound infections. Of these, two patients were treated using intravenous antibiotics but the other had their varitensor removed.

The REMEEX systemⓇ may be an effective procedure regardless of previous incontinence surgical interventions and ISD.

The REMEEX systemⓇ may be an effective procedure regardless of previous incontinence surgical interventions and ISD. The correct sling tension is easily achieved during the early postoperative period, and when necessary, is able to convert late failures into cures. The problems of recurrent UI during the follow-up period were also resolved successfully in every case.