The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching

Objective: To compare the therapeutic efficacy after suburethral adjustable sling (Remeex system) for female stress urinary incontinence (SUI) between pure intrinsic s phincter deficiency (ISD) and ISD with overactive bladder (OAB) group. Methods: The study subjects were 86 female patients with ISD...

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Main Authors: Sang Wook Lee, Woong Bin Kim, Kwang Woo Lee, Jun Mo Kim, Jae Heon Kim, Ji Eun Moon, Si Hyun Kim, Jae Joon Park, Young Ho Kim
Format: Article
Language:English
Published: IMR Press 2022-08-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909193
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author Sang Wook Lee
Woong Bin Kim
Kwang Woo Lee
Jun Mo Kim
Jae Heon Kim
Ji Eun Moon
Si Hyun Kim
Jae Joon Park
Young Ho Kim
author_facet Sang Wook Lee
Woong Bin Kim
Kwang Woo Lee
Jun Mo Kim
Jae Heon Kim
Ji Eun Moon
Si Hyun Kim
Jae Joon Park
Young Ho Kim
author_sort Sang Wook Lee
collection DOAJ
description Objective: To compare the therapeutic efficacy after suburethral adjustable sling (Remeex system) for female stress urinary incontinence (SUI) between pure intrinsic s phincter deficiency (ISD) and ISD with overactive bladder (OAB) group. Methods: The study subjects were 86 female patients with ISD who underwent Remeex system to treat female SUI and who were available for 12 months follow-up. We retrospectively studied both patients who underwent Remeex system due to pure ISD (group I) and those who underwent Remeex system due to ISD with OAB (group II). Improvement in objective and subjective symptoms were retrospectively evaluated using a 1hr pad weight test, global response assessment (GRA) and overactive bladder symptom score (OABSS). Results: Group I included 43 patients and group II included 43 patients of mean ages 56.8 ± 7.5 and 57.4 ± 6.6 years, respectively. Use of 1 hr pad weight test showed that incontinence decreased after the procedures in both groups, and that of group I patients was significantly lower than that of group II patients. The mean GRA score was significant a higher score in group I. The OABSS of patients in group II were 8.2 ± 1.1 and 7.2 ± 1.1, respectively, before and at 12 months after operation, did differ significantly. The mean change of OABSS of group II patients was significantly more decreased than that of group I patients. Conclusions: The Remeex system showed a greater patient satisfaction and a higher cure rate in pure ISD than ISD with OAB in female patients with urinary incontinence.
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spelling doaj-art-ece4dde3bcd74270895c91736a09a8a82025-08-20T03:48:36ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-08-0149919310.31083/j.ceog4909193S0390-6663(22)01903-0The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score MatchingSang Wook Lee0Woong Bin Kim1Kwang Woo Lee2Jun Mo Kim3Jae Heon Kim4Ji Eun Moon5Si Hyun Kim6Jae Joon Park7Young Ho Kim8Department of Urology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 14584 Bucheon, Republic of KoreaDepartment of Urology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 14584 Bucheon, Republic of KoreaDepartment of Urology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 14584 Bucheon, Republic of KoreaDepartment of Urology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 14584 Bucheon, Republic of KoreaDepartment of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 04401 Seoul, Republic of KoreaDepartment of Biostatistics, Clinical Trial Center, Soonchunhyang University Bucheon Hospital, 14584 Bucheon, Republic of KoreaDepartment of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31151 Cheonan, Republic of KoreaDepartment of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 04401 Seoul, Republic of KoreaDepartment of Urology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 14584 Bucheon, Republic of KoreaObjective: To compare the therapeutic efficacy after suburethral adjustable sling (Remeex system) for female stress urinary incontinence (SUI) between pure intrinsic s phincter deficiency (ISD) and ISD with overactive bladder (OAB) group. Methods: The study subjects were 86 female patients with ISD who underwent Remeex system to treat female SUI and who were available for 12 months follow-up. We retrospectively studied both patients who underwent Remeex system due to pure ISD (group I) and those who underwent Remeex system due to ISD with OAB (group II). Improvement in objective and subjective symptoms were retrospectively evaluated using a 1hr pad weight test, global response assessment (GRA) and overactive bladder symptom score (OABSS). Results: Group I included 43 patients and group II included 43 patients of mean ages 56.8 ± 7.5 and 57.4 ± 6.6 years, respectively. Use of 1 hr pad weight test showed that incontinence decreased after the procedures in both groups, and that of group I patients was significantly lower than that of group II patients. The mean GRA score was significant a higher score in group I. The OABSS of patients in group II were 8.2 ± 1.1 and 7.2 ± 1.1, respectively, before and at 12 months after operation, did differ significantly. The mean change of OABSS of group II patients was significantly more decreased than that of group I patients. Conclusions: The Remeex system showed a greater patient satisfaction and a higher cure rate in pure ISD than ISD with OAB in female patients with urinary incontinence.https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909193suburethral slingsurinary incontinenceurinary sphincteroveractive bladderfemale
spellingShingle Sang Wook Lee
Woong Bin Kim
Kwang Woo Lee
Jun Mo Kim
Jae Heon Kim
Ji Eun Moon
Si Hyun Kim
Jae Joon Park
Young Ho Kim
The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
Clinical and Experimental Obstetrics & Gynecology
suburethral slings
urinary incontinence
urinary sphincter
overactive bladder
female
title The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
title_full The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
title_fullStr The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
title_full_unstemmed The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
title_short The Effects of Suburethral Tension Adjustable Sling (Remeex system) for Female Urinary Incontinence between Pure Intrinsic Sphincter Deficiency and Intrinsic Sphincter Deficiency with Overactive Bladder: Initial Experience with Propensity Score Matching
title_sort effects of suburethral tension adjustable sling remeex system for female urinary incontinence between pure intrinsic sphincter deficiency and intrinsic sphincter deficiency with overactive bladder initial experience with propensity score matching
topic suburethral slings
urinary incontinence
urinary sphincter
overactive bladder
female
url https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909193
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