Observational studyWorld journal of urology2017
Five-year experience with the adjustable transobturator male system for the treatment of male stress urinary incontinence: a single-center evaluation.
Observational study in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Systematic review and meta-analysis comparing Adjustable Transobturator Male System (ATOMS) and male Readjustment Mechanical External (REMEEX) system for post-prostatectomy incontinence.World journal of urology · 2021Pooled it
- Effectiveness of Adjustable Transobturator Male System (ATOMS) to Treat Male Stress Incontinence: A Systematic Review and Meta-Analysis.Advances in therapy · 2019Pooled it
- Pooled it
- Adjustable sling for the treatment of post-prostatectomy urinary incontinence: systematic review and meta-analysis.Einstein (Sao Paulo, Brazil) · 2019Pooled it
- Late erosion of an Adjustable Transobturator Male System (ATOMSIJU case reports · 2025Article
- Outcomes with the Adjustable Transobturator Male System (ATOMS) for the Treatment of Male Stress Urinary Incontinence After Prostate Surgery and the Impact of Previous Radiotherapy.European urology open science · 2024Article
- Results of Adjustable Trans-Obturator Male System in Patients with Prostate Cancer Treated with Prostatectomy and Radiotherapy: A Multicenter Study.Journal of clinical medicine · 2023Article
- Update on Adjustable Trans-Obturator Male System (ATOMS) for Male Incontinence after Prostate Cancer Surgery.Current oncology (Toronto, Ont.) · 2023Review
- Holmium laser enucleation of prostate by using en-bloc and bladder neck preservation technique: technical consideration and influence on functional outcomes.Translational andrology and urology · 2021Article
- Current Management of Post-radical Prostatectomy Urinary Incontinence.Frontiers in surgery · 2021Review
- Complications of the urinary incontinence system ATOMS: description of risk factors and how to prevent these pitfalls.World journal of urology · 2020Article
- Patient satisfaction with adjustable transobturator male system in the Iberian multicenter study.World journal of urology · 2019Article
- An overview of the ATOMS generations: port types, functionality and risk factors.World journal of urology · 2019Article
- [Differentiated surgical treatment of male stress urinary incontinence-between intention and reality?]Der Urologe. Ausg. A · 2019Review
- Application of En Bloc and Urethral Mucosal Flap Sparing Techniques Improve the Functional Outcomes in Holmium Laser Enucleation of Prostate: A Retrospective Case Control Study.American journal of men's healthArticle
- Implant of ATOMS® system for the treatment of postoperative male stress urinary incontinence: results of a single centre.International braz j urol : official journal of the Brazilian Society of UrologyArticle
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe report on our 5-year experience with the adjustable transobturator male system (ATOMS
methodsBetween 10-2009 and 10-2014, 54 patients received an ATOMS. The mean follow-up of this retrospective observational trial was 27.5 ± 18.4 (2.3-59) months. Within each follow-up, the following were evaluated: micturition protocol, 24-h pad count, uroflowmetry and residual volume. Statistical analysis was performed with SigmaPlot
resultsStress urinary incontinence (SUI) I°, II° and III° was seen in 1 (1.9 %), 16 (29.6 %) and 37 patients (68.5 %), respectively. In summary, 48.1 % of the patients became "dry" (0-"safty pad"/day), while 29.6 % achieved at least an "improvement" of about more than 50 % (1-2 pads/day), which corresponds to an overall success rate of 77.7 %. The mean number of pads/day decreased from 7.7 to 1.6. Regarding the initial degree of SUI, patients with mild or moderate incontinence had a significantly better outcome (p = 0.002, 95 % CI 0.9066 to 2.760). Postoperative complications were scaled according to the Clavien classification, in which we have seen 4 grade I-, 1 grade IIIa- and 9 grade IIIb-complications (overall 25.9 %). The evaluation of quality of life by ICIQ-SF showed a significant improvement (p = 0.0001, 95 % CI -14.56 to -11.75).
conclusionThe treatment of male SUI using the ATOMS incontinence system achieved the best results in patients with mild and moderate incontinence. For severe incontinent patients, the system represents an efficient alternative.
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