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First experience with the ATOMS(®) implant, a new treatment option for male urinary incontinence.

González SP, Cansino JR, Portilla MA, Rodriguez SC, Hidalgo L, De la Peña J - Cent European J Urol (2014)

Bottom Line: Three patients experienced perineal-scrotal dysesthesias that disappeared spontaneously in the first three months.The described adjustable continence system has been found to be very effective in males with mild to moderate UI.In our experience, the ATOMS(®) implant offers excellent results over the middle term with a very low rate of complications that were easily resolved in all cases.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Hospital Universitario La Paz, Madrid, Spain.

ABSTRACT

Introduction: Urinary incontinence (UI) is defined as any complaint of involuntary urine leakage. A description is provided of our experience with the ATOMS(®) (Adjustable Transobturator Male System. Agency for Medical Innovations. A.M.I.) adjustable implant in patients with mild to moderate UI.

Material and methods: A retrospective study was made of the data referring to 13 patients treated with this adjustable system. Demographic and personal data were collected along with information on the etiology, severity, characteristics, duration of UI, complementary tests, surgery times, complications and results obtained.

Results: The full continence (no use of pad) recovery rate at the close of the study was 12/13 (92.3%). Three cases required a single filling during the mean 16 months of follow-up (range 4-32; median 14 months). A complication in the form of perineal hematoma was resolved with conservative treatment and a case of urinary retention was resolved by placing a bladder catheter for the duration of one week. Three patients experienced perineal-scrotal dysesthesias that disappeared spontaneously in the first three months.

Conclusions: The described adjustable continence system has been found to be very effective in males with mild to moderate UI. In our experience, the ATOMS(®) implant offers excellent results over the middle term with a very low rate of complications that were easily resolved in all cases.

No MeSH data available.


Related in: MedlinePlus

Satisfaction questionnaire.
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Figure 0002: Satisfaction questionnaire.

Mentions: A retrospective cohort study was made based on the review of case histories and satisfaction questionnaires among patients subjected to surgical treatment for mild to moderate SUI diagnosed via urodynamic findings that persisted a year after surgery (Figure 2). The study involved patients subjected to serial micturition cystourethrography (MCU) without urethral stenosis, presenting good bladder capacity (300–550 milliliters) and who received an ATOMS® implant in the period 2010–2012.


First experience with the ATOMS(®) implant, a new treatment option for male urinary incontinence.

González SP, Cansino JR, Portilla MA, Rodriguez SC, Hidalgo L, De la Peña J - Cent European J Urol (2014)

Satisfaction questionnaire.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4310889&req=5

Figure 0002: Satisfaction questionnaire.
Mentions: A retrospective cohort study was made based on the review of case histories and satisfaction questionnaires among patients subjected to surgical treatment for mild to moderate SUI diagnosed via urodynamic findings that persisted a year after surgery (Figure 2). The study involved patients subjected to serial micturition cystourethrography (MCU) without urethral stenosis, presenting good bladder capacity (300–550 milliliters) and who received an ATOMS® implant in the period 2010–2012.

Bottom Line: Three patients experienced perineal-scrotal dysesthesias that disappeared spontaneously in the first three months.The described adjustable continence system has been found to be very effective in males with mild to moderate UI.In our experience, the ATOMS(®) implant offers excellent results over the middle term with a very low rate of complications that were easily resolved in all cases.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Hospital Universitario La Paz, Madrid, Spain.

ABSTRACT

Introduction: Urinary incontinence (UI) is defined as any complaint of involuntary urine leakage. A description is provided of our experience with the ATOMS(®) (Adjustable Transobturator Male System. Agency for Medical Innovations. A.M.I.) adjustable implant in patients with mild to moderate UI.

Material and methods: A retrospective study was made of the data referring to 13 patients treated with this adjustable system. Demographic and personal data were collected along with information on the etiology, severity, characteristics, duration of UI, complementary tests, surgery times, complications and results obtained.

Results: The full continence (no use of pad) recovery rate at the close of the study was 12/13 (92.3%). Three cases required a single filling during the mean 16 months of follow-up (range 4-32; median 14 months). A complication in the form of perineal hematoma was resolved with conservative treatment and a case of urinary retention was resolved by placing a bladder catheter for the duration of one week. Three patients experienced perineal-scrotal dysesthesias that disappeared spontaneously in the first three months.

Conclusions: The described adjustable continence system has been found to be very effective in males with mild to moderate UI. In our experience, the ATOMS(®) implant offers excellent results over the middle term with a very low rate of complications that were easily resolved in all cases.

No MeSH data available.


Related in: MedlinePlus