{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:17:39Z","timestamp":1770819459619,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the surgical safety, efficacy and quality of life in patients suffering from stress urinary incontinence after desobstructive surgery for benign prostatic enlargement, we analyzed data from patients treated with the Adjustable Transobturator Male System (ATOMS) at our tertiary referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed 27 patients with stress urinary incontinence (SUI) after desobstructive surgery (transurethral resection of the prostate (TUR\u2010P):\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917; Holmium laser enucleation of the prostate (HoLEP):\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910) who underwent ATOMS implantation at our high\u2010volume incontinence\u2010surgery center between 2018 and 2024. Patients with prior prostatectomy or cancer\u2010related surgery were excluded. Pre\u2010 and postoperative continence parameters, complications, and patient\u2010reported outcomes were assessed using questionnaires, 24\u2010h pad tests, and standardized instruments. The median follow\u2010up was 32 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline demographics were comparable across groups. HoLEP patients had a significantly higher resected tissue weight (95.0\u2009g vs. 26.0\u2009g,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008) and required greater cushion volume (8.0\u2009ml vs. 7.0\u2009ml,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035). Complete continence rates were 64.7% (TUR\u2010P) and 80.0% (HoLEP,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.401). Postoperative pad test results (12.0\u2009ml vs. 11.0\u2009ml), complication rates, and satisfaction levels showed no significant differences. Explantation occurred in\u2009~10% of patients, with high patient\u2010reported satisfaction and willingness to recommend the implant across both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ATOMS implantation is a feasible, safe, and effective treatment for SUI following both TUR\u2010P and HoLEP. Importantly, neither the type of prior surgery nor the volume of resected prostate tissue negatively impacted outcomes. These findings support the broader application of ATOMS in patients with post\u2010BPE SUI, including those with large prostate volumes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70213","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T06:33:12Z","timestamp":1768804392000},"page":"372-378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adjustable TransObturator Male System (ATOMS) After Desobstructive Surgery for Benign Prostatic Hyperplasia \u2013 Does the Type of Desobstructive Surgery Make a Difference?"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3053-944X","authenticated-orcid":false,"given":"Leo Federico","family":"Stadelmeier","sequence":"first","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Lederer","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferdinand","family":"Heimke","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2072-5521","authenticated-orcid":false,"given":"Marc","family":"Kidess","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Pyrgidis","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Troya","family":"Georgieva","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Hermans","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2126-7305","authenticated-orcid":false,"given":"Benedikt","family":"Ebner","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Tamalunas","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Keller","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8814-6412","authenticated-orcid":false,"given":"Michael","family":"Chaloupka","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricarda","family":"Bauer","sequence":"additional","affiliation":[{"name":"Urologische Klinik M\u00fcnchen Planegg Planegg 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Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"issue":"9","key":"e_1_2_12_2_1","first-page":"S3","article-title":"Pathophysiology, Epidemiology, and Natural History of Benign Prostatic Hyperplasia","volume":"6","author":"Lepor H.","year":"2004","journal-title":"Reviews in Urology"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-023-02183-5"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-023-02200-7"},{"key":"e_1_2_12_5_1","unstructured":"J. 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