Is the adjustable transobturator system ATOMS® useful for the treatment of male urinary incontinence in low to medium volume urological centers? [¿Es útil el sistema transobturatriz ajustable ATOMS® para el tratamiento de la incontinencia urinaria masculina en centros urológicos de bajo y medio volumen?]

• Type: Article in International Scientific Journal
• Date: 2018

Authors

Manso, M (Author) FMUP; Alexandre, B (Author) Other; Antunes Lopes, T (Author) Other; Carlos Silva (Author) FMUP; Francisco Cruz (Author) FMUP

Journal

Title: Actas Urologicas Espanolas

Vol. 42

Pages: 267-272

ISSN: 0210-4806

Publisher: Elsevier

Indexing

Scopus - 10 Citations

Other information

Authenticus ID: P-00T-3TP

DOI: 10.1016/j.acuro.2017.07.011

Abstract (EN): Introduction: Urinary incontinence (UI) is a complication of radical prostatectomy (RP) and transurethral resection of the prostate (TURP). The gold-standard treatment is the artificial urinary sphincter, however, new treatments have been investigated. Objective: To examine the outcome of an adjustable transobturator male system (ATOMS®) in men with UI after prostatic surgery in a low to medium volume continence center. Materials and methods: Twenty-five men with UI were implanted with ATOMS® system between 2012 and 2014. The most common indication was UI after RP (92%), followed by UI after TURP (8%). Eleven patients (44%) had received adjuvant external beam radiotherapy (RT). Patients were considered to be `dry¿ if they stopped wearing pads or needed just one protective pad per day; and improved if the daily number of pads used decreased by at least half. The Incontinence Quality of Life questionnaire (ICIQ-SF) was used, adding a verbal question about the satisfaction of the patient considering the outcome. Results: After a mean follow-up of 21.56 months, 64% were dry and 8% revealed a significant improvement. The success of the procedure was negatively correlated with the severity of the previous UI and with previous treatment with RT. Concerning patients satisfaction, 84% of the patients would repeat the procedure. Conclusion: ATOMS® offers good rates of cure and improvement of UI after prostatic surgery with a reasonable rate of minor complications. The results of this study, performed in a low to medium volume continence center, are comparable to the results achieved in high volume continence centers. © 2017 AEU

Language: English

Type (Professor's evaluation): Scientific