Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center
Objective: To propose possible success-driven solutions for problem and complication rates encountered with the ATOMS sling system, based on first-hand experience; and to provide possible actual alternative scenarios for the treatment of male . Patients and methods: During the defined period (betwe...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2014-12-01
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| Series: | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/iprs/2014-3/iprs000056.shtml |
| _version_ | 1828768688591863808 |
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| author | Krause, Jens Tietze, Stefan Behrendt, Wolf Nast, Jenifer Hamza, Amir |
| author_facet | Krause, Jens Tietze, Stefan Behrendt, Wolf Nast, Jenifer Hamza, Amir |
| author_sort | Krause, Jens |
| collection | DOAJ |
| description | Objective: To propose possible success-driven solutions for problem and complication rates encountered with the ATOMS sling system, based on first-hand experience; and to provide possible actual alternative scenarios for the treatment of male . Patients and methods: During the defined period (between 4/2010 and 04/2014), 36 patients received ATOMS system implants at our clinic. We collected pre- and post-operative evaluation data using the International Consultation on Incontinence Questionnaire Short Form (ICIQ SF). As an expansion of the questionnaire, we added questions about post-operative perineal pain, the general satisfaction with the results of the intervention and willingness to recommend the operation to a best friend. Results: Our data shows a relatively high explantation rate, but a surprisingly high patient satisfaction rate. Explantation was required mainly due to late onset infections or other symptomatic factors. Compared to other studies early onset infections were rare. Conclusion: A non-invasive, uncomplicated adjustable system to alleviate male stress urinary incontinence remains a challenge. Although there are various systems available for the treatment of male stress urinary incontinence, it seems that despite the advantages of the ATOMS system, an artificial sphincter system may pose more advantages based on our experience, understanding and knowledge of its well-documented long-term solutions and problems. |
| first_indexed | 2024-12-11T13:34:20Z |
| format | Article |
| id | doaj.art-75ba8b1afa6a48e09efb5b37d8fdd48e |
| institution | Directory Open Access Journal |
| issn | 2193-8091 |
| language | deu |
| last_indexed | 2024-12-11T13:34:20Z |
| publishDate | 2014-12-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| spelling | doaj.art-75ba8b1afa6a48e09efb5b37d8fdd48e2022-12-22T01:05:07ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912014-12-013Doc1510.3205/iprs000056Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single centerKrause, Jens0Tietze, Stefan1Behrendt, Wolf2Nast, Jenifer3Hamza, Amir4Department of Urology, Klinikum St. Georg gGmbH, Leipzig, GermanyDepartment of Urology, Klinikum St. Georg gGmbH, Leipzig, GermanyDepartment of Urology, Klinikum St. Georg gGmbH, Leipzig, GermanyDepartment of Urology, Klinikum St. Georg gGmbH, Leipzig, GermanyDepartment of Urology, Klinikum St. Georg gGmbH, Leipzig, GermanyObjective: To propose possible success-driven solutions for problem and complication rates encountered with the ATOMS sling system, based on first-hand experience; and to provide possible actual alternative scenarios for the treatment of male . Patients and methods: During the defined period (between 4/2010 and 04/2014), 36 patients received ATOMS system implants at our clinic. We collected pre- and post-operative evaluation data using the International Consultation on Incontinence Questionnaire Short Form (ICIQ SF). As an expansion of the questionnaire, we added questions about post-operative perineal pain, the general satisfaction with the results of the intervention and willingness to recommend the operation to a best friend. Results: Our data shows a relatively high explantation rate, but a surprisingly high patient satisfaction rate. Explantation was required mainly due to late onset infections or other symptomatic factors. Compared to other studies early onset infections were rare. Conclusion: A non-invasive, uncomplicated adjustable system to alleviate male stress urinary incontinence remains a challenge. Although there are various systems available for the treatment of male stress urinary incontinence, it seems that despite the advantages of the ATOMS system, an artificial sphincter system may pose more advantages based on our experience, understanding and knowledge of its well-documented long-term solutions and problems.http://www.egms.de/static/en/journals/iprs/2014-3/iprs000056.shtmlstress urinary incontinence (SUI)radical prostatectomyartificial sphincterport site infectionperineal infectionsling implantsVirtue® slingAdvance® slingAMS 800®ProAct®Argus® slingMale Reemex®ATOMS® sling |
| spellingShingle | Krause, Jens Tietze, Stefan Behrendt, Wolf Nast, Jenifer Hamza, Amir Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW stress urinary incontinence (SUI) radical prostatectomy artificial sphincter port site infection perineal infection sling implants Virtue® sling Advance® sling AMS 800® ProAct® Argus® sling Male Reemex® ATOMS® sling |
| title | Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center |
| title_full | Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center |
| title_fullStr | Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center |
| title_full_unstemmed | Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center |
| title_short | Reconstructive surgery for male stress urinary incontinence: Experiences using the ATOMS system at a single center |
| title_sort | reconstructive surgery for male stress urinary incontinence experiences using the atoms system at a single center |
| topic | stress urinary incontinence (SUI) radical prostatectomy artificial sphincter port site infection perineal infection sling implants Virtue® sling Advance® sling AMS 800® ProAct® Argus® sling Male Reemex® ATOMS® sling |
| url | http://www.egms.de/static/en/journals/iprs/2014-3/iprs000056.shtml |
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