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#23110

READJUSTABLE MIDURETHRAL SLING FOR SEVERE STRESS URINARY INCONTINENCE IN WOMEN WITH HYPOMOBILE URETHRA Escura Sancho S1, Ros Cerro C1, Anglès Acedo S1, Larroya Solà M1, Bataller Sánchez E1, Amat Tardiu L2, Sánchez Ruiz E1, Espuña Pons M1 1. Hospital Clínic de Barcelona, 2. Hospital Sant Joan de Déu d'Esplugues de Llobregat KEYWORDS: Stress Urinary Incontinence, Surgery, Grafts: Synthetic, Urgency Urinary Incontinence In women with recurrent stress urinary incontinence (rSUI) after a failed mid-urethral sling (MUS) or other surgery, there is no consensus about the surgical procedure of choice. When urethral hypermobility persists, another MUS or a colposuspension are the most common procedures. However, when the previous surgery caused periurethral fibrosis restricting the urethral mobility, we should consider other treatments such as bulking agents, autologous fascial sling, artificial sphincter or adjustable slings. Remeex® re-adjustable sling (Mechanical External Regulation; Neomedic International) is a closed system which allows the regulation of the sling tension the days after the placement or at any time during the follow-up. In our urogynecology unit, this re-adjustable sling is an option for a selected group of women with severe SUI and hypomobile urethra, often associated to an intrinsic sphincter deficiency (ISD) and/or hypoactive detrusor during voiding. The selection of these complex group of patients is based on the clinical evaluation in combination with urodynamics and pelvic floor ultrasound. The aim of this study is to evaluate the results of Remeex® system in a group of women with a severe SUI and hypomobile urethra.