Evidence map›Paper›PMID 38633825›Full record

ArticleBJUI compass2024

The effectiveness of adjustable trans-obturator male system (ATOMS) in radiated patients is reduced: A propensity score-matched analysis.

Javier C Angulo, Alessandro Giammò, Fabian Queissert, Sandra Schönburg, Carmen González-Enguita, Andreas Gonsior, Antonio Romero, Francisco E Martins, Tiago Antunes-Lopes, Raquel González and 4 more

Abstract read
In one paragraph

Article in BJUI compass, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. [Male slings-an overview].Urologie (Heidelberg, Germany) · 2026
    Review
  2. Article
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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

14 authors.

Javier C AnguloClinical Department, Faculty of Biomedical Science Universidad Europea Madrid Spain.ORCID https://orcid.org/0000-0002-1735-8792
Alessandro GiammòDepartment of Neuro-Urology, CTO/Spinal Cord Unit AOU Città della Salute e della Scienza di Torino Turin Italy.
Fabian QueissertDepartment of Urology and Pediatric Urology University Hospital Muenster Münster Germany.
Sandra SchönburgDepartment of Urology and Kidney Transplantation Martin Luther University Halle (Saale) Germany.
Carmen González-EnguitaDepartment of Urology Hospital Fundación Jiménez Díaz Madrid Spain.
Andreas GonsiorKlinik und Poliklinik für Urologie University of Leipzig Leipzig Germany.
Antonio RomeroDepartment of Urology Hospital Universitario Morales Meseguer Murcia Spain.
Francisco E MartinsDepartment of Urology Centro Hospitalar Universitário de Lisboa Norte, Hospital Santa María Lisbon Portugal.
Tiago Antunes-LopesDepartment of Urology Centro Hospitalar São João Porto Portugal.
Raquel GonzálezDepartment of Urology Hospital Fundación Jiménez Díaz Madrid Spain.
Juliusz SzczesniewskiDepartment of Urology Hospital Universitario de Getafe Madrid Spain.
Carlos TéllezClinical Department, Faculty of Biomedical Science Universidad Europea Madrid Spain.
Francisco CruzDepartment of Urology Centro Hospitalar São João Porto Portugal.
Keith F RourkeDepartment of Urology Alberta University, Hospital Edmonton Edmonton Alberta Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to compare the effectiveness and safety of the adjustable trans-obturator male system (ATOMS®) to treat post-prostatectomy incontinence (PPI) in radiated patients compared with non-radiated patients, using propensity score-matching analysis to enhance the validity of the comparison. Patients and methods: Consecutive men with PPI treated with silicone-covered scrotal port ATOMS (A.M.I., Feldkirch, Austria) in nine different institutions between 2016 and 2022 were included. Preoperative assessment evaluated 24-h pad usage, urethroscopy and urodynamics, if indicated. Propensity score-matching analysis was based on age, length of follow-up, previous PPI treatment, previous bladder neck stricture, androgen deprivation and pad usage. The primary endpoint was dry rate, defined as no pads post-operatively with a security pad allowed. The secondary endpoints were complications, device removal and self-perceived satisfaction with the Patient Global Impression of Improvement (PGI-I) scale. Results: Of the 710 included patients, 342 were matched, and the study groups were balanced for the baseline matched variables. The mean baseline 24-h pad was 4.8 in both groups ( Conclusion: ATOMS implantation significantly outperformed in patients without adjuvant radiation over radiated patients.

Indexed as

adjustable trans‐obturator male systemcomplicationsoutcomespost‐prostatectomy incontinenceradiotherapysatisfaction

Identifiers

PMID38633825
PMCPMC11019248

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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.