Related Experiment Video
Updated: Dec 21, 2025
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular
Marco Pedrini1, Jannik Stuehmeier1, Lukas Andrius Jelisejevas1
1Medical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.
Abstract:
The adjustable transobturator male system (ATOMS) treats post-prostatectomy urinary incontinence by compression of the proximal bulbous urethra. It reminds of the Kaufman prosthesis described in 1978. We describe a case where an excessive fibrotic reaction occurred around the cushion. Furthermore, the bulbous urethra underneath, developed severe atrophy devoid of any visible blood supply. We suspect ongoing shear forces around the cushion while sitting resulting in a chain reaction of acute through chronic inflammation and progressive fibrosis and encapsulation. Does the encapsulation lead to capsular contracture resulting in non-function?
