Evidence map›Paper›PMID 40892147›Full record

Observational studyInternational urology and nephrology2026

Decision satisfaction and regret in patients undergoing ATOMS® adjustable sling for male urinary stress incontinence: data from a third level referral centre.

Alessandro Giammò, Riccardo Lombardo, Paolo Geretto, Carmen Gravina, Beatrice Turchi, Jordi Stira, Alessandro Guercio, Vincenzo Li Marzi, Cosimo De Nunzio, YRG of the Italian Society of Urodynamics

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Adjustable continence therapy (ProACTTranslational andrology and urology · 2026
    Article
  4. Article
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

10 authors.

Alessandro GiammòUnit of Neuro-Urology, Città Della Salute E Della Scienza University Hospital, University of Turin, Turin, Italy.
Riccardo LombardoDepartment of Urology, Ospedale Sant'Andrea, Sapienza, University of Rome, Rome, Italy. rlombardo@me.com.
Paolo GerettoUnit of Neuro-Urology, Città Della Salute E Della Scienza University Hospital, University of Turin, Turin, Italy.
Carmen GravinaDepartment of Urology, Ospedale Sant'Andrea, Sapienza, University of Rome, Rome, Italy.
Beatrice TurchiDepartment of Urology, Ospedale Sant'Andrea, Sapienza, University of Rome, Rome, Italy.
Jordi StiraDepartment of Urology, Ospedale Sant'Andrea, Sapienza, University of Rome, Rome, Italy.
Alessandro GuercioDepartment of Urology, Ospedale Sant'Andrea, Sapienza, University of Rome, Rome, Italy.
Vincenzo Li MarziUnit of Urology, Department of Surgical Sciences, Tor Vergata University Hospital, Tor Vergata University of Rome, Rome, Italy.
Cosimo De NunzioDepartment of Urology, Ospedale Sant'Andrea, Sapienza, University of Rome, Rome, Italy.
YRG of the Italian Society of Urodynamics

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aimed to evaluate treatment satisfaction and decisional regret in patients who underwent Adjustable Trans-Obturator Male System (ATOMS®) implantation for stress urinary incontinence (SUI).

methodsThis retrospective, observational, single-arm cohort study reviewed records of 134 patients who underwent ATOMS implantation between January 2014 and December 2021. Data collected included demographics, pre- and post-operative continence status, complications classified by Clavien-Dindo, and patient-reported outcomes using the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI SF). Decisional regret was assessed using the validated Decision Regret Scale (DRS). Predictors of regret were analyzed using univariate and multivariate logistic regression.

resultsPatients had a median age of 72 years, with 30% reporting moderate/severe regret (> 25%). Regret was significantly associated with prior radiotherapy, diabetes, higher preoperative pad usage, and worse postoperative ICIQ-UI SF scores. Multivariate analysis identified radiotherapy (OR = 3.09; p = 0.049) and preoperative ICIq score (1.49; p = 0.001) as independent predictors of regret. When considering postoperative data, the only independent predictor of regret is the number of pads (OR = 5.58; p = 0.001).

conclusionATOMS implantation provides good objective outcomes; however, some of the patients may present some regret. Preoperative radiotherapy and preoperative continence status are key predictors of regret. These findings highlight the importance of tailored preoperative counseling to manage patient expectations and improve.

Indexed as

Decision MakingEmotionsPatient SatisfactionSuburethral SlingsUrinary Incontinence, StressAgedAged, 80 and overCohort StudiesHumansMaleMiddle AgedRetrospective StudiesPatient reported outcomesSlingUrinary incontinence

Identifiers

PMID40892147

What OpenQuestion holds

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Registered trials

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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.