{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:26:27Z","timestamp":1740104787022,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T00:00:00Z","timestamp":1640822400000},"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":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess changes in voiding phase, especially urethral resistance after post\u2010prostatectomy urinary incontinence (PPI) treatment with the Adjustable TransObturator Male System (ATOMS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A longitudinal prospective study was performed on 45 men treated with ATOMS for PPI, with the intention to evaluate the changes produced by the implant on the voiding phase. Patients with preoperative urodynamic study were offered postoperative urodynamic evaluation, and both studies were compared. The following urodynamic date were evaluated: maximum voiding detrusor pressure, detrusor pressure at maximum flow rate, maximum flow rate (Qmax), voiding volume, post\u2010void residue, bladder outlet obstruction index (BOOI), urethral resistance factor (URA), and bladder contractility index (BCI). The statistical analysis used were the mean comparison test for dependent groups (Student's <jats:italic>t<\/jats:italic> test) for parametric variables and the Wilcoxon test for non\u2010parametric variables. The signification level was set at 95% bilateral.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 37 patients (82.2%) used zero pads\/day at the time of urodynamic postoperative evaluation and pad\u2010test evolved from 592\u2009\u00b1\u2009289\u2009ml baseline to 25\u2009\u00b1\u200940\u2009ml (<jats:italic>p<\/jats:italic>\u2009=\u20090.0001). Significant differences were observed in Qmax (15\u2009\u00b1\u20098.3 before and 11\u2009\u00b1\u20098.3 after surgery; <jats:italic>p<\/jats:italic>\u2009=\u20090.008), voiding volume (282\u2009\u00b1\u2009130.7 before and 184\u2009\u00b1\u200999.92 after surgery). BOOI (\u221212\u2009\u00b1\u200923.9 before and \u22122\u2009\u00b1\u200921.4 after surgery; <jats:italic>p<\/jats:italic>\u2009=\u20090.025) and BCI (93\u2009\u00b1\u200946.4 before and 76\u2009\u00b1\u200946.0 after surgery; <jats:italic>p<\/jats:italic>\u2009=\u20090.044). In no case did we observe postoperative bladder outlet obstruction, according to URA parameter below 29\u2009cm H<jats:sub>2<\/jats:sub>O in all cases. There was not a significant variation either in post\u2010void urinary residual volume (15\u2009\u00b1\u200947.4 before and 14\u2009\u00b1\u200924.2 after surgery, <jats:italic>p<\/jats:italic>\u2009=\u20090.867).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ATOMS implant induces a decrease of Qmax, voided volume, and bladder contractility and an increase of BOOI. However, our findings suggest that ATOMS device does not cause bladder outlet obstruction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24856","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T21:54:41Z","timestamp":1640901281000},"page":"609-615","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Influence of ATOMS implant on the voiding phase of patients with post\u2010prostatectomy urinary incontinence"],"prefix":"10.1002","volume":"41","author":[{"given":"Sonia","family":"Ruiz","sequence":"first","affiliation":[{"name":"Departamento Clinico Facultad de Ciencias Biom\u00e9dicas y de la Salud, Universidad Europea de Madrid Madrid Spain"},{"name":"Servicio de Urolog\u00eda, Hospital Universitario de Getafe, Getafe Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-6548","authenticated-orcid":false,"given":"Miguel","family":"Virseda\u2010Chamorro","sequence":"additional","affiliation":[{"name":"Servicio de Urolog\u00eda, Centro Nacional de Parapl\u00e9jicos Toledo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Salinas","sequence":"additional","affiliation":[{"name":"Servicio de Urolog\u00eda, Hospital Cl\u00ednico San Carlos Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2486-2740","authenticated-orcid":false,"given":"Fabian","family":"Queissert","sequence":"additional","affiliation":[{"name":"Department of Urology and Pediatric Urology University Hospital Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Arance","sequence":"additional","affiliation":[{"name":"Departamento Clinico Facultad de Ciencias Biom\u00e9dicas y de la Salud, Universidad Europea de Madrid Madrid Spain"},{"name":"Servicio de Urolog\u00eda, Hospital Universitario de Getafe, Getafe Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1735-8792","authenticated-orcid":false,"given":"Javier C.","family":"Angulo","sequence":"additional","affiliation":[{"name":"Departamento Clinico Facultad de Ciencias Biom\u00e9dicas y de la Salud, Universidad Europea de Madrid Madrid Spain"},{"name":"Servicio de Urolog\u00eda, Hospital Universitario de Getafe, Getafe Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","first-page":"327","article-title":"Neural control of the lower urinary tract","volume":"5","author":"Groat WC","year":"2015","journal-title":"Compr Physiol"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10022"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.10.054"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-018-0770-7"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12976"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13684"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23474"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000420"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-018-0852-4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0225762"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.07.1413"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.08.041"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02243-4"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10066"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.10.138"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365590151030804-1"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000132146.79081.da"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.08.032"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.03.068"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10084"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.01.020"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24416"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.03.051"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65067-5"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(02)00031-9"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24410"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.24856","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.24856","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.24856","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T08:45:00Z","timestamp":1692953100000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.24856"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,30]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1002\/nau.24856"],"URL":"https:\/\/doi.org\/10.1002\/nau.24856","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"type":"print","value":"0733-2467"},{"type":"electronic","value":"1520-6777"}],"subject":[],"published":{"date-parts":[[2021,12,30]]},"assertion":[{"value":"2021-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}