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The TRT System is the only long term re-adjustable sling for Female SUI. This prosthesis allows a reliable readjustment of the fascia sling for urethral support whenever needed during a patient’s lifetime. Surgeons can provide long-term continence, and avoid re-operating on a patient with a sling failure.

With more than 5 years follow-up, TRT provides surgeons with the experience of adjusting the Fascia sling while the patient is in standing position and doing the efforts which drives them to incontinence. This unique property provides the surgeon with the ability to adjust the sling to the desired urethral support level, avoiding urine leakage and urine retention. The TRT also provides long term continence in cases where other systems don’t.

Dynamic pressure transmission system

When coughing, the patient uses the rectus muscle, advancing the varitensor, and increasing the sling urethral support when it’s needed. This reconstructs the intra-abdominal pressure transmission system of normal continent patients. The readjustment is made while the patient is standing up and doing the efforts that drives her to incontinence.

Lifetime re-adjustability

The sling adjustment is made step by step (checking continence every four turns of the manipulator). When the patient is continent we know that four turns before they were incontinent. This allows the surgeon to provide the minimum necessary urethral support for that particular patient under stress.

• PATIENTS: Designed for life long adjustability to treat female incontinence.
• SAFETY: Single use implant. Manufactured in Spain. CE marked. Single packed.
• GAMECHANGER: Adjustability post procedure in upright position gives the perfect tension for each individual patient.
• EFFICACY: The only product on the market that allows for tightening and release of the fascia sling days, months and years post procedure.

Quality in design
The TRT Remeex System is the only long term readjustable sling for Female SUI. This prosthesis allows a reliable readjustment of the sling urethral support whenever needed during patient’s lifetime. Surgeon can provide a long-term continence, and avoid re-operating again a patient with a sling failure.

5 Year Follow Up
With more than 5 years follow-up, TRT provides surgeon with the experience of adjusting the sling urethral support with the patient in standing up position and doing the efforts that drives her to incontinence. This unique property provides the surgeon the ability to adjust the sling to the desired urethral support level, avoiding urine leakage and urine retention. The TRT also provides long term continence in cases where other systems don’t.

Dynamic pressure transmission system
When coughing, the patient advances the rectus muscle, advancing the varitensor, and increasing the sling urethral support while it’s needed. This reconstructs the intra abdominal pressure transmission system of normal continent patients. The readjustment is made while the patient is standing up and doing the efforts that drives her to incontinence.

Lifetime readjustability
The sling adjustment is made step by step (checking continence every four turns of the manipulator). When the patient is continent we know that four turns before she was incontinent. This allows the surgeon to provide the minimum necessary urethral support for that particular patient under stress and no more.

How does it work?
Needles are connected to the handle with a simple and sturdy screw function to give a secure snug connection between handle and needle.
Handles and needles are reusable and resterilisation instuctions are in the pack. The needle has a hole for the suture to the fascia sling.

What is used?
Most commonly we see 2 needles and 1 handle on each tray, but we have some customers who have both long and short needles on each tray, to ensure they always have the best length.

What is the UK experience?
Birmingham Womens adjusted a female patient over 10 years after her original impant in October 2018, with satisfactory outcomes.

Needles and handles for Fascia Sling procedures: Fact Sheet Fascia Needles

The suburethral tension adjustable sling (REMEEX system) in the treatment of female urinary incontinence due to ‘true’ intrinsic sphincter deficiency: results after 5 years of mean follow-up
Claudio Giberti, Fabrizio Gallo, Pierluigi Cortese and Maurizio Schenone Department of Surgery, Division of Urology, San Paolo Hospital, Savona, Italy Accepted for publication 14 September 2010

Conclusions:

The Remeex system produced remarkable 5-year results with a low complication rate. These outcomes have also been confirmed in a worse prognosis patient group as reported in the present study.

More details

Long-term Outcome of the Readjustable Sling Procedure for Female Stress Urinary Incontinence With Intrinsic Sphincter Deficiency or Recurrence

Mu Yeal Seo, Joon Hwa Noh Department of Urology, Kwangju Christian Hospital, Gwangju, Korea

Conclusions: 

After long-term follow-up, the Remeex system showed good cure rates and subjective satisfaction rates that were similar to the results found at the 1-year follow- up, and minimal complications were reported. Therefore, the Remeex system is effective in treating patients with SUI recurrence or ISD.

More details

READ MORE:

TRT-2014-01 Seo KJU

TRT-2010-05 Paul Petit Mayo clinic Jacksonville

TRT-2010-03 Errando Neurology Urodyn

TRT-2010-02 Giberti BJUI

TRT 2017-3. 205 patients Errando-Smet

TRT 2017 Urology – Montovani

TRT 2016-2 Giberti. 50 patients

Mayo Clinic.

Long term experience Female Remeex South Korea

Julian Barrington Long Term Study

Female Remeex study 15 years experience.

Clinical Trial Remeex Study KJU (5)

Clinical Trial Remeex Neurology and Urodynamics (2)

Clinical Trial Remeex Int. Urogyn.J (3)

Clinical Trial Remeex BJU (1)

Clinical Trial Remeex BJU (1)

Product Name Details Product Code
Passer Needle 3.5 mm 230 mm Connects with handle MPAS09. Non sterile, reusable. PAS21
Passer Needle 3.5mm/280 mm Connects with handle MPAS09. Non sterile, reusable. PAS22
Handle 3.5 mm (slimline) For use with either PAS21 or PAS22 Non sterile, reusable. MPAS11
Handle 3.5 mm

(T-style)

For use with either PAS21 or PAS22. Non sterile, reusable. MPAS09
Passer Needle

5mm/230 mm

Fits handle AR-05.

Non sterile, reusable.

AR-03
Passer Needle

5mm/280 mm

Fits handle AR-05.

Non sterile, reusable.

PAS05
Handle 5mm

(T-style)

For use with AR-03 or PAS05

Non sterile, reusable.

AR-05
Suprapubic  3.5mm

(T-style)

For top-down use, handle and needle preconnected.

Non sterile, reusable.

APAS401

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Telephone: 01628 330010
Fax: 0872 1116710
Email : order@junemedical.com