Implante de balones parauretrales como tratamiento de la incontinencia urinaria masculina: Experiencia del Hospital Universitario La Paz

Alcaide, José Ramón Cansino; Maestro, M. Álvarez; Hernández, Mario Martín; Castillo, P.M. Cabrera; Pérez, Manuel Vargas; Bethencourt, Fermín Rodríguez de; Togores, Luis Hidalgo; Barthel, Jesús Javier de la Peña

doi:10.4321/s0004-06142007000600005

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…In addition, they do not produce compression over the entire urethral circumference, thereby ensuring improved preservation of the vascular supply and allow individualized pressure adjustment without the need for patient cooperation to ensure correct functioning. As a result, they are highly advisable as a passive continence system [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

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

González

Cansino

Portilla

et al. 2014

CEJU

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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.

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Section: Discussionmentioning

confidence: 99%

“…Uromedica. Plymouth, USA) type paraurethral balloons regardless of the underlying cause, due to the good results obtained and low complications rate [ 2 – 4 ]. Nevertheless, we continue to evaluate new techniques such as the ATOMS ® implant with a view of offering more individualized treatment.…”

Section: Introductionmentioning

confidence: 99%

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

González

Cansino

Portilla

et al. 2014

CEJU

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Surgical treatment of stress incontinence in men

Herschorn

Bruschini

Comiter

et al. 2009

Neurourology and Urodynamics

178

137

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Aims:The committee was charged with the responsibility of reviewing and evaluating all published data relating to surgical treatment of male urinary incontinence since the previous consultation in 2004. Methods: Articles from peer-reviewed journals, abstracts from scientific meetings, and literature searches by hand and electronically formed the basis of this review. The articles were evaluated using Levels of Evidences adapted by the ICUD from the Oxford Centre for Evidence Based Medicine. The Recommendations for Care were based on the level of evidence and discussed among the committee members to reach consensus. The incontinence problems were classified according to their etiology, that is, either primarily sphincter or bladder related. Results: Specialist evaluation of the patient is primarily a clinical approach with history, frequency-volume chart, physical examination, and postvoid residual urine. Other investigations such as radiographic imaging of the lower urinary tract, cystoscopy, and urodynamic studies can provide important information for the clinician. For stress incontinence of various etiologies the artificial urinary sphincter (AUS) has the longest record of satisfactory results. Consideration must be given to the need for revisions for mechanical breakdown, erosion/infection, and recurrent incontinence, as well as cost. Sling procedures are increasingly being reported to have good outcomes for mild to moderate incontinence. Injectable agents have not shown durable results but newer technologies such as volume-adjustable balloons have shown favorable early results. Incontinence following cystectomy with neobladder and pelvic trauma has been treated most commonly with the AUS. Conclusions: Although the literature is replete with well-done cohort studies, there is a need for prospective randomized clinical trials. Recommendations for trials include standardized workup and outcome measures and complete reporting of adverse events and long-term results. Further research is also needed to elucidate the mechanism of post-prostatectomy incontinence.

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Les ballons

Grise

2011

Les Incontinences Urinaires De L’homme

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Implante de balones parauretrales como tratamiento de la incontinencia urinaria masculina: Experiencia del Hospital Universitario La Paz

Abstract: CorrespondenciaJosé

Cited by 7 publications

References 13 publications

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

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

Surgical treatment of stress incontinence in men

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