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 stress urinary incontinence (SUI).


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.


CONCLUSIONS
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.
Department of Urology, Klinikum St. Georg gGmbH, Leipzig, Germany.
Jens
J
Krause
Department of Urology, Klinikum St. Georg gGmbH, Leipzig, Germany.
Stefan
S
Tietze
Department of Urology, Klinikum St. Georg gGmbH, Leipzig, Germany.
Wolf
W
Behrendt
Department of Urology, Klinikum St. Georg gGmbH, Leipzig, Germany.
Jenifer
J
Nast
Department of Urology, Klinikum St. Georg gGmbH, Leipzig, Germany.
Amir
A
Hamza
AMS 800®; ATOMS® sling; Advance® sling; Argus® sling; Male Reemex®; ProAct®; Virtue® sling; artificial sphincter; perineal infection; port site infection; radical prostatectomy; sling implants; stress urinary incontinence (SUI)