Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?

Marco Pedrini, Jannik Stuehmeier, Lukas Andrius Jelisejevas, Alexandra Gulacsi, Wolgang Horninger, Peter Rehder

Open access · goldAbstract readCase Reports

In one paragraph

Article in Urology case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 92% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Marco PedriniMedical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Jannik StuehmeierMedical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Lukas Andrius JelisejevasMedical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Alexandra GulacsiMedical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Wolgang HorningerMedical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Peter RehderMedical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Innsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The adjustable transobturator male system (ATOMS) treats post-prostatectomy urinary incontinence by compression of the proximal bulbous urethra. It reminds of the Kaufman prosthesis described in 1978. We describe a case where an excessive fibrotic reaction occurred around the cushion. Furthermore, the bulbous urethra underneath, developed severe atrophy devoid of any visible blood supply. We suspect ongoing shear forces around the cushion while sitting resulting in a chain reaction of acute through chronic inflammation and progressive fibrosis and encapsulation. Does the encapsulation lead to capsular contracture resulting in non-function?

Indexed as

ATOMSCapsular contractureFibrosis and complicationsRadical prostatectomy and urinary incontinence

Identifiers

PMID32426236

DOI10.1016/j.eucr.2020.101241

PMCPMC7225744

OpenAlexW3023199551

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.