2014/01/01 by Jens Krause, Stefan Tietze, Krause, Jens +7
Medicine · #610 Medical sciences #AMS 800® #ATOMS® sling #Advance® sling #Argus® sling #Male Reemex® #Medicine #Pelvic floor disorders treatments #ProAct® #Prostate Cancer Diagnosis and Treatment #Urinary Bladder and Prostate Research #Virtue® sling #artificial sphincter #perineal infection #port site infection #radical prostatectomy #sling implants #stress urinary incontinence (SUI)
paper · doi:10.3205/iprs000056
openalex publication_date 2014/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
OBJECTIVE: To propose possible success-driven solutions for problem and complication rates encountered with the ATOMS(®) sling system, based on first-hand experience; and to provide possible actual alternative scenarios for the treatment of male stress urinary incontinence (SUI). PATIENTS AND METHODS: During the defined period (between 4/2010 and 04/2014), 36 patients received ATOMS(®) system implants at our clinic. We collected pre- and post-operative evaluation data using the International Consultation on Incontinence Questionnaire Short Form (ICIQ SF). As an expansion of the questionnaire, we added questions about post-operative perineal pain, the general satisfaction with the results of the intervention and willingness to recommend the operation to a best friend. RESULTS: Our data shows a relatively high explantation rate, but a surprisingly high patient satisfaction rate. Explantation was required mainly due to late onset infections or other symptomatic factors. Compared to other studies early onset infections were rare. CONCLUSION: A non-invasive, uncomplicated adjustable system to alleviate male stress urinary incontinence remains a challenge. Although there are various systems available for the treatment of male stress urinary incontinence, it seems that despite the advantages of the ATOMS(®) system, an artificial sphincter system may pose more advantages based on our experience, understanding and knowledge of its well-documented long-term solutions and problems.