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Canadian Experience with the Adjustable Transobturator Male System for Post-Prostatectomy Incontinence: A Multicenter

R Christopher Doiron1, Alvaro Saavedra1, Trevor Haines1

  • 1Divisions of Urology, University of Alberta, Edmonton, Alberta, Canada.

The Journal of Urology
|June 29, 2019
PubMed
Summary
This summary is machine-generated.

The Adjustable Transobturator Male System (ATOMS) effectively treats post-prostatectomy incontinence, with 80% of patients achieving continence. However, outcomes are less favorable for those with prior radiotherapy or incontinence surgery.

Keywords:
maleprostatectomyprostheses and implantsstressurethraurinary incontinence

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Area of Science:

  • Urology
  • Medical Devices
  • Surgical Innovation

Background:

  • Post-prostatectomy incontinence is a common complication following radical prostatectomy.
  • Existing treatment options for male urinary incontinence have varying efficacy and patient satisfaction rates.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Adjustable Transobturator Male System (ATOMS) for treating post-prostatectomy incontinence.
  • To assess patient outcomes, including continence rates, pad usage, complications, and satisfaction.

Main Methods:

  • A multicenter study involving 160 male patients with post-prostatectomy incontinence.
  • Outcomes were assessed based on pad changes, continence, improvement, 90-day complications, and patient satisfaction.
  • Patients requiring ≥2 pads preoperatively were considered incontinent.

Main Results:

  • Median pad use decreased from 4 to 0.5 pads postoperatively (p <0.001).
  • An 80% continence rate and 87.8% improvement rate were observed.
  • Patient satisfaction was high (86.3%), with 22.3% experiencing minor complications.

Conclusions:

  • The ATOMS device offers a safe and effective short-term solution for post-prostatectomy incontinence.
  • Patients with prior radiotherapy or previous incontinence surgery showed reduced rates of continence, improvement, and satisfaction.