{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:23:34Z","timestamp":1792610614964,"version":"4.5.0"},"reference-count":8,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: stress urinary incontinence (SUI) still represents a major drawback of prostate surgery. The aim of this study is to evaluate long term efficacy, safety and survival of ATOMS system implant in a single center. Methods: we retrospectively included al consecutive patients treated with ATOMS implant for SUI from October 2014 to July 2019. Patients received anamnesis, urodynamic evaluation, pre- and postoperative 24 h pad test and count. Patients were considered \u201ccontinent\u201d when dry or when wearing a security pad (social continence). Results: we treated99 patientswith median age 77.98 years (IQR 72.7\u201382.52). Most of the patients had undergone radical prostatectomy. Median follow-up was 62.9 months (IQR 47.5\u201375.9). At last follow-up 74 (74.7%) patients reported continence.We had 21 early (&lt;30 days) postoperative complications, all Clavien-Dindo (CD) grade 1: [11 temporary perineal pain, 4 urinary retention, 3 scrotal edema, 2 superficial wound dehiscence, 1 dysuria]. We had late postoperative complications in 28 patients 7 port dislocations requiring surgical repositioning (CD 3a), 6 device removals (CD 3a) due to port erosion (2), inefficacy (2), cushion leakage (1), mesh detachment (1), perineal pain (5), 2 cases of port extrusion solved with port removal leaving the device in place (CD 3a), 2 superficial wound dehiscence (CD 1), 2 UTI (CD 1), 1 scrotal edema (CD 1), 1 cushion deflate (CD 1), 1 dysuria (CD 1), 1 perineal pain (CD 1). The survival of the device was 97% at 12 months, 93% at 24 months, 91% at 36 months, 90% at 48 months and 87.9% at 60 months. Conclusions: This study demonstrates the good safety and efficacy of ATOMS implant for the treatment of SUI.<\/jats:p>","DOI":"10.3390\/jcm12062296","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T02:40:11Z","timestamp":1678934411000},"page":"2296","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Long-Term Survival Rate of ATOMS Implant for Male Stress Urinary Incontinence and Management of Late Complications"],"prefix":"10.3390","volume":"12","author":[{"given":"Alessandro","family":"Giamm\u00f2","sequence":"first","affiliation":[{"name":"CTO-Spinal Cord Unit, NeuroUrology Department, Citt\u00e0 della Salute e della Scienza di Torino, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9162-8845","authenticated-orcid":false,"given":"Enrico","family":"Ammirati","sequence":"additional","affiliation":[{"name":"CTO-Spinal Cord Unit, NeuroUrology Department, Citt\u00e0 della Salute e della Scienza di Torino, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.juro.2012.08.246","article-title":"Trends in the use of incontinence procedures after radical prostatectomy: A population based analysis","volume":"189","author":"Kim","year":"2013","journal-title":"J. Urol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.eururo.2012.11.034","article-title":"The artificial urinary sphincter after a quarter of a century: A critical systematic review of its use in male non-neurogenic incontinence","volume":"63","author":"Drake","year":"2013","journal-title":"Eur. Urol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1590\/s1677-5538.ibju.2018.0171","article-title":"Implant of ATOMS\u00ae system for the treatment of postoperative male stress urinary incontinence: Results of a single centre","volume":"45","author":"Ammirati","year":"2019","journal-title":"Int. Braz. J. Urol."},{"key":"ref_4","first-page":"770","article-title":"Implant of ATOMS\u00ae system for the treatment of postoperative male stress urinary incontinence: An Italian multicentric study","volume":"72","author":"Ammirati","year":"2019","journal-title":"Minerva. Urol. Nefrol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1007\/s12325-018-0852-4","article-title":"Effectiveness of adjustable transobturatormale system (ATOMS) to treat male stress incontinence: A systematic review and meta-analysis","volume":"36","author":"Esquinas","year":"2019","journal-title":"Adv. Ther."},{"key":"ref_6","first-page":"1042","article-title":"Evaluation of benefits and harms of surgical treatments for post-radical prostatectomy urinary incontinence: A systematic review and meta-analysis","volume":"8","author":"Violette","year":"2021","journal-title":"Eur. Urol. Focus"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Angulo, J.C., Sch\u00f6nburg, S., Giamm\u00f2, A., Abell\u00e1n, F.J., Arance, I., and Lora, D. (2019). Systematic review and meta-analysis comparing Adjustable Transobturator Male System (ATOMS) and Adjustable Continence Therapy (ProACT) for male stress incontinence. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0225762"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1007\/s00345-020-03300-1","article-title":"Systematic review and meta-analysis comparing Adjustable Transobturator Male System (ATOMS) and male Readjustment Mechanical External (REMEEX) system for post-prostatectomy incontinence","volume":"39","author":"Angulo","year":"2020","journal-title":"World J. Urol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/6\/2296\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:56:01Z","timestamp":1760122561000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/6\/2296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,15]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["jcm12062296"],"URL":"https:\/\/doi.org\/10.3390\/jcm12062296","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,15]]}}}