Skip to main content

Advertisement

SpringerLink
Log in

A Review of Adjustable Continence Devices for the Treatment of Stress Urinary Incontinence with Neurogenic Etiology

  • Neurogenic Bladder (CR Powell, Section Editor)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Midurethral slings may lose their effectiveness due to changes in urethral compression over time in patients with urinary incontinence due to intrinsic sphincter deficiency and neurogenic bladder. Adjustable continence devices offer potential solutions. We reviewed the current literature regarding six adjustable continence devices for male and female patients suffering from incontinence. We reviewed the following devices: Adjustable Continence Therapy® (Uromedica, Irvine, CA), Pro-Adjustable Continence Therapy® for men (Uromedica, Irvine, CA), TRT Remeex (Neomedic, Barcelona, Spain) for females, MRS II Remeex (Neomedic, Barelona, Spain) for men, Argus ®, and Phorbas® adjustable continence therapy for men (Promedon SA, Cordoba, Argentina). Based on the reviewed studies, adjustable continence devices offer similar, if not less, risk than traditional stress urinary incontinence (SUI) procedures with greater outcomes as reported by patients. Adjustable continence devices allow clinicians to adjust urethral tension post-operatively if necessary without secondary procedures and general anesthesia. Adjustable devices are particularly well-suited to SUI with a neurogenic etiology as these devices allow for post-operative adjustments to sphincter pressure from a clinical setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Phe V, Nguyen K, Roupret M, Cardot V, Parra J, Chartier-Kastler E. A systematic review of the treatment for female stress urinary incontinence by ACT(R) balloon placement (Uromedica, Irvine, CA, USA). World J Urol. 2014;32(2):495–505. doi:10.1007/s00345-013-1117-0. Great review of the available devices and their outcomes to date.

    Article  PubMed  Google Scholar 

  2. Hubner WA, Schlarp OM. Treatment of incontinence after prostatectomy using a new minimally invasive device: adjustable continence therapy. BJU Int. 2005;96(4):587–94. doi:10.1111/j.1464-410X.2005.05689.x.

    Article  PubMed  Google Scholar 

  3. Sousa-Escandon A, Cabrera J, Mantovani F, Moretti M, Ioanidis E, Kondelidis N, et al. Adjustable suburethral sling (male remeex system) in the treatment of male stress urinary incontinence: a multicentric European study. Eur Urol. 2007;52(5):1473–9. doi:10.1016/j.eururo.2007.05.017.

    Article  PubMed  Google Scholar 

  4. Kocjancic E, Crivellaro S, Smith 3rd JJ, Ranzoni S, Bonvini D, Frea B. Adjustable continence therapy for treatment of recurrent female urinary incontinence. J Endourol. 2008;22(7):1403–7. doi:10.1089/end.2008.0027. Great review of the available devices and their outcomes to date.

    Article  PubMed  Google Scholar 

  5. Aboseif SR, Franke EI, Nash SD, Slutsky JN, Baum NH, le Tu M, et al. The adjustable continence therapy system for recurrent female stress urinary incontinence: 1-year results of the North America Clinical Study Group. J Urol. 2009;181(5):2187–91. doi:10.1016/j.juro.2009.01.039.

    Article  PubMed  Google Scholar 

  6. Mehnert U, Bastien L, Denys P, Cardot V, Even-Schneider A, Kocer S, et al. Treatment of neurogenic stress urinary incontinence using an adjustable continence device: 4-year followup. J Urol. 2012;188(6):2274–80. doi:10.1016/j.juro.2012.07.131.

    Article  PubMed  Google Scholar 

  7. Crivellaro S, Smith JJ. Minimally invasive therapies for female stress urinary incontinence: the current status of bioinjectables/new devices (adjustable continence therapy, urethral submucosal collagen denaturation by radiofrequency). Sci World J. 2009;9:466–78. doi:10.1100/tsw.2009.53. Great review of the available devices and their outcomes to date.

    Article  Google Scholar 

  8. Kocjancic E, Crivellaro S, Ranzoni S, Bonvini D, Grosseti B, Frea B. Adjustable continence therapy for severe intrinsic sphincter deficiency and recurrent female stress urinary incontinence: long-term experience. J Urol. 2010;184(3):1017–21. doi:10.1016/j.juro.2010.05.024.

    Article  PubMed  Google Scholar 

  9. Kocjancic E, Crivellaro S, Ranzoni S, Bonvini D, Gontero P, Frea B. Adjustable Continence Therapy for the treatment of male stress urinary incontinence: a single-centre study. Scand J Urol Nephrol. 2007;41(4):324–8. doi:10.1080/00365590601153488.

    Article  PubMed  Google Scholar 

  10. Errando C, Rodriguez-Escovar F, Gutierrez C, Baez C, Arano P, Villavicencio H. A re-adjustable sling for female recurrent stress incontinence and sphincteric deficiency: outcomes and complications in 125 patients using the Remeex sling system. Neurourol Urodyn. 2010;29(8):1429–32. doi:10.1002/nau.20879.

    Article  PubMed  Google Scholar 

  11. Sousa-Escandon A, Rodriguez Gomez JI, Uribarri Gonzalez C, Marques-Queimadelos A. Externally readjustable sling for treatment of male stress urinary incontinence: points of technique and preliminary results. J Endourol. 2004;18(1):113–8. doi:10.1089/089277904322836776.

    Article  PubMed  Google Scholar 

  12. Moreno Sierra J, Victor Romano S, Galante Romo I, Barrera Ortega J, Salinas Casado J, Silmi MA. New male sling “Argus” for the treatment of stress urinary incontinence. Arch Esp Urol. 2006;59(6):607–13.

    Article  PubMed  Google Scholar 

  13. Romano SV, Metrebian SE, Vaz F, Muller V, D’Ancona CA, Costa DE, et al. An adjustable male sling for treating urinary incontinence after prostatectomy: a phase III multicentre trial. BJU Int. 2006;97(3):533–9. doi:10.1111/j.1464-410X.2006.06002.x.

    Article  PubMed  Google Scholar 

  14. Bauer RM, Herschorn S, Olmedo TB, Reyes OD, Huebner W. V64 The Phorbas system—a new single incision adjustable male sling: implantation technique and first results. Eur Urol Suppl. 2014;13(1):eV64. doi:10.1016/S1569-9056(14)61193-3.

    Article  Google Scholar 

Download references

Compliance with Ethics Guidelines

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

  1. Department of Urology, University of Illinois at Chicago, Chicago, IL, USA

    Tony Nimeh, Naem Mufarreh, Harpreet Wadhwa & Ervin Kocjancic

Authors
  1. Tony Nimeh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Naem Mufarreh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Harpreet Wadhwa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ervin Kocjancic
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ervin Kocjancic.

Additional information

This article is part of the Topical Collection on Neurogenic Bladder

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nimeh, T., Mufarreh, N., Wadhwa, H. et al. A Review of Adjustable Continence Devices for the Treatment of Stress Urinary Incontinence with Neurogenic Etiology. Curr Bladder Dysfunct Rep 10, 346–349 (2015). https://doi.org/10.1007/s11884-015-0332-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11884-015-0332-5

Keywords

Search

Navigation