{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T04:08:37Z","timestamp":1745208517135,"version":"3.40.4"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: The adjustable transobturator male system (ATOMS) has recently garnered attention for its surgical simplicity and suitability for mild post-prostatectomy incontinence (PPI). This retrospective study investigated the outcomes of patients who received ATOMS, including subgroup analyses of individuals with overactive bladder (OAB) or previous radiotherapy.\nMethods: A retrospective cohort study was conducted on 104 patients who received ATOMS. To classify mild, moderate, and severe incontinence, preoperative severity was defined as &lt;2 pads per day (PPD), 2\uf02d4 PPD, and &gt;4 PPD, based on the 24-hour pad count and\/or &lt;200 g, 200\uf02d400 g, and &gt;400 g, based on the 24-hour pad-test (24h-PT). Postoperative \u201cdry\u201d status referred to \u22641 pad\/day, while \u201cimproved\u201d or \u201cvery much improved\u201d indicated a pad reduction of \u226550% or \u226575%, respectively. Patients who reported \u201cmuch better\u201d or \u201cvery much better\u201d on the Patient Global Impression of Improvement-Incontinence (PGI-I) questionnaire were considered \u201csatisfied.\u201d\nResults: Thirteen patients were excluded for insufficient followup, leaving 91 patients (mean age 70 years, mean followup 42 months). Most were classified as moderately (44%) or severely (55%) incontinent, with a median of four pads\/day and a mean 24-hour pad test of 351 g preoperatively. At final followup, the median pad count was 0.5; 89% improved overall, 58% became dry, and 91% were satisfied. Complications occurred in 27% (five grade III). Patients with prior radiotherapy (n=29) exhibited lower dryness (55% vs. 79%) and improvement (83% vs. 92%), alongside more adjustments and higher total instilled volume. There were no other significant subgroup differences.\nConclusions: ATOMS appears to be a safe and effective device for PPI, including for moderate to severe incontinence, though radiotherapy may affect efficacy.<\/jats:p>","DOI":"10.5489\/cuaj.9118","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T09:23:59Z","timestamp":1744968239000},"source":"Crossref","is-referenced-by-count":0,"title":["Analyzing outcomes of the adjustable transobturator male system (ATOMS) for post-prostatectomy incontinence and its relationship with detrusor overactivity and radiotherapy with the help of urodynamics"],"prefix":"10.5489","volume":"19","author":[{"given":"Samuel","family":"Farag","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salima","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanie","family":"Pelletier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le Mai","family":"Tu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3456","published-online":{"date-parts":[[2025,4,17]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9118\/6401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9118\/6401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T09:24:08Z","timestamp":1745141048000},"score":1,"resource":{"primary":{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/view\/9118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,4,17]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.9118","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"type":"electronic","value":"1920-1214"},{"type":"print","value":"1911-6470"}],"subject":[],"published":{"date-parts":[[2025,4,17]]}}}