{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T15:39:38Z","timestamp":1763480378067,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T00:00:00Z","timestamp":1592179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate efficacy and safety of ATOMS implant in neurogenic patients with stress incontinence performing clean intermittent catheterization (CIC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included all patients with neurogenic sacral\/subsacral lesion and stress urinary incontinence, treated with ATOMS implant between January 2018 and March 2019. All patients received anamnesis, 24\u2010hour pad test and pad count, physical examination, video urodynamic evaluation, Qualiveen questionnaire. All patients were followed up at 12 months after implantation. Patients were considered \u201ccontinent\u201d when dry or when wearing a security pad (social continence).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We treated eight male patients with a median age of 25 years, four affected by myelomeningocele, and four by cauda equine syndrome. The median preoperative 24\u2010hour pad test was 225\u2009g (interquartile range [IQR]: 180\u2010275). During the surgical procedure, we did not fill the cushion to prevent postoperative urethral injuries when performing CIC in the early postoperative time. At a 12\u2010month follow\u2010up, we had a significant reduction in postoperative 24\u2010hour pad test (median value: 7.5\u2009g; IQR: 0\u201016.25; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). All patients reached continence. We had a significant reduction in the Qualiveen scores (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). Patients demonstrated to be satisfied with the results of the intervention at the PGI\u2010I questionnaire. The only complications were four cases of temporary scrotal edema (Clavien\u2010Dindo 1) treated with conservative therapy. All patients resumed CIC without urethral traumatism nor catheter insertion difficulties. We had no cases of device infection nor device removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implantation of ATOMS device seems to be an effective and safe minimally invasive procedure also in neurological patients with a low rate of postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24433","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T17:36:38Z","timestamp":1592242598000},"page":"1837-1841","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["First experience with ATOMS system implant in neurogenic stress urinary incontinence"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9162-8845","authenticated-orcid":false,"given":"Enrico","family":"Ammirati","sequence":"first","affiliation":[{"name":"Department of Neuro\u2010Urology CTO\/Unipolar Spinal Cord Unit, AOU Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Manassero","sequence":"additional","affiliation":[{"name":"Department of Neuro\u2010Urology CTO\/Unipolar Spinal Cord Unit, AOU Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-9519","authenticated-orcid":false,"given":"Giovanni","family":"Mosiello","sequence":"additional","affiliation":[{"name":"Department of Neuro\u2010Urology Pediatric Ospedale Pediatrico Bambino Ges\u00f9 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Falcone","sequence":"additional","affiliation":[{"name":"Department of Neuro\u2010Urology CTO\/Unipolar Spinal Cord Unit, AOU Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Geretto","sequence":"additional","affiliation":[{"name":"Department of Neuro\u2010Urology CTO\/Unipolar Spinal Cord Unit, AOU Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Giamm\u00f2","sequence":"additional","affiliation":[{"name":"Department of Neuro\u2010Urology CTO\/Unipolar Spinal Cord Unit, AOU Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Blok B Castro\u2010Diaz D Del Popolo G et al. EAU Guidelines on Neuro\u2010Urology.European Association of Urology. 2020.https:\/\/uroweb.org\/guideline\/neuro-urology\/. Accessed June 12 2020."},{"issue":"1","key":"e_1_2_6_3_1","first-page":"145","article-title":"Management options for sphincteric deficiency in adults with neurogenic bladder","volume":"5","author":"Myers JB","year":"2016","journal-title":"Transl Androl Urol"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05530.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-018-0852-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1677-5538.ibju.2018.0171"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09501.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02914499"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02962-w"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.5301\/uj.5000242"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-018-0219-3"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.5213\/inj.1732644.322"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.07.016"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21256"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000381880"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.24433","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.24433","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.24433","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.24433","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T20:25:54Z","timestamp":1693945554000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.24433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,15]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1002\/nau.24433"],"URL":"https:\/\/doi.org\/10.1002\/nau.24433","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"type":"print","value":"0733-2467"},{"type":"electronic","value":"1520-6777"}],"subject":[],"published":{"date-parts":[[2020,6,15]]},"assertion":[{"value":"2020-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}