{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:24:28Z","timestamp":1762507468740,"version":"3.40.5"},"reference-count":0,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2018]]},"abstract":"<b><i>Objectives:<\/i><\/b> Feasibility study to evaluate the efficacy and safety of Adjustable Transobturator Male System (ATOMS) after failed surgical devices for male stress urinary incontinence (SUI). <b><i>Materials and Methods:<\/i><\/b> Thirty patients were implanted with ATOMS after they were implanted with surgical device\/s previously. SUI severity was evaluated as dryness (0\u20131 pad\/day), mild (2 pads\/day), moderate (3\u20135 pads\/day), or severe (\u22656 pads\/day). Change in pad-test and pad-count after adjustment, operative parameters, patient satisfaction, and number and grade of complications were investigated. <b><i>Results:<\/i><\/b> Previous failed treatment methods were artificial urinary sphincter (AUS; <i>n<\/i> = 19), Advance (<i>n<\/i> = 10), and Virtue (<i>n<\/i> = 1). Six cases had multiple previous treatments. Preoperative SUI was mild 6 (20%), moderate 11 (36.7%), and severe 13 (43.3%). Median pad-test decreased from 435 mL baseline to 10 mL after adjustment and pad-count from 4 to 0. Dry-rate was 76.7 and 83.3% declared satisfied. Postoperative SUI distribution was mild in 3 (10%) and moderate in 4 (13.3%). No patient had urinary retention\u00a0after catheter removal. Complications presented in 4 (13.3%; 3 grade-I, 1 grade-II). After a median of 24 months follow-up, no system experienced infection or urethral erosion and 1 (3.3%) was removed for inefficacy. <b><i>Conclusion:<\/i><\/b> Based on short-term efficacy and patient satisfaction, ATOMS can be a realistic alternative for male SUI after other failed systems, including AUS. The absence of urethral erosion and limited infective problems makes this alternative attractive for cases with previous failed treatments.<\/jats:p>","DOI":"10.1159\/000489316","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T21:01:22Z","timestamp":1530219682000},"page":"106-113","source":"Crossref","is-referenced-by-count":17,"title":["Adjustable Transobturator Male System after Failed Surgical Devices for Male Stress Urinary Incontinence: A Feasibility Study"],"prefix":"10.1159","volume":"101","author":[{"given":"Javier\u00a0C.","family":"Angulo","sequence":"first","affiliation":[]},{"given":"Cristina","family":"Esquinas","sequence":"additional","affiliation":[]},{"given":"Ignacio","family":"Arance","sequence":"additional","affiliation":[]},{"given":"Andr\u00e9s","family":"Rodr\u00edguez","sequence":"additional","affiliation":[]},{"given":"Javier","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"Miguel","family":"Rabassa","sequence":"additional","affiliation":[]},{"given":"Antoine","family":"Teyrouz","sequence":"additional","affiliation":[]},{"given":"Fernando","family":"Teba","sequence":"additional","affiliation":[]},{"given":"Guillermo","family":"Celada","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o\u00a0P.","family":"Marcelino","sequence":"additional","affiliation":[]},{"given":"Francisco\u00a0E.","family":"Martins","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5889-3994","authenticated-orcid":false,"given":"Margarida","family":"Manso","sequence":"additional","affiliation":[]},{"given":"Francisco","family":"Cruz","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2018,6,28]]},"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/489316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/489316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:28:31Z","timestamp":1745425711000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000489316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,7,18]]},"published-print":{"date-parts":[[2018,7,24]]}},"URL":"https:\/\/doi.org\/10.1159\/000489316","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2018]]}}}