First experience with the ATOMS® implant, a new treatment option for male urinary incontinence

Abstract

IntroductionUrinary incontinence (UI) is defined as any complaint of involuntary urine leakage. A description is provided of our experience with the ATOMS® (Adjustable Transobturator Male System. Agency for Medical Innovations. A.M.I.) adjustable implant in patients with mild to moderate UI.Material and methodsA retrospective study was made of the data referring to 13 patients treated with this adjustable system. Demographic and personal data were collected along with information on the etiology, severity, characteristics, duration of UI, complementary tests, surgery times, complications and results obtained.ResultsThe full continence (no use of pad) recovery rate at the close of the study was 12/13 (92.3%). Three cases required a single filling during the mean 16 months of follow–up (range 4–32; median 14 months). A complication in the form of perineal hematoma was resolved with conservative treatment and a case of urinary retention was resolved by placing a bladder catheter for the duration of one week. Three patients experienced perineal–scrotal dysesthesias that disappeared spontaneously in the first three months.ConclusionsThe described adjustable continence system has been found to be very effective in males with mild to moderate UI. In our experience, the ATOMS® implant offers excellent results over the middle term with a very low rate of complications that were easily resolved in all cases.

Long‐term outcome of the adjustable transobturator male system (ATOMS): results of a European multicentre study

“…For continence outcome, the present study was able to reproduce the results of the initial studies of Hoda et al and Seweryn et al , as well as of the smaller series of Friedl et al and González et al , with an overall success rate and DR of 84–92% and 61–63%, respectively. Removal rates vary from 4% and 16% depending on the follow‐up duration . The ATOMS device is now in its third generation with the latest small pre‐attached SSP, which is easier and faster to deploy without an additional inguinal incision as was needed in the first generation.…”

Implant of ATOMS® system for the treatment of postoperative male stress urinary incontinence: results of a single centre

“…The average operative time in our population was 51 minutes, in line with other literature studies (range 44 – 67.6) (9–15). The average number of device refillings was 1.55 with an average filling volume of 10.7 mL; other studies in literature show a greater number of refillings (range 1 – 4.5) and a higher average total cushion volume (17.5 – 18 mL) (11–14).…”

Treatment of male stress urinary incontinence with the adjustable transobturator male system: Outcomes of a multi‐center Iberian study

“…This series also included a very high proportion of patients with severe SUI (70.7%), previous surgeries (34.3%) and radiotherapy (31.3%) . Other single center studies revealed total dryness varying from 38.9% to 92.3% . Some of them paid special attention to postoperative complications that vary from 14.7% to 25.9% .…”