Incontinence urinaire masculine

Pourquoi l’incontinence urinaire d’effort (IUE) se produit-elle ?

L’incontinence urinaire peut être décrite comme une perte involontaire ou non désirée d’urine. Cette situation est considérée comme un problème médical.

Incontinence urinaire à l'effort (IUE)

Chirurgie de la prostate

Traitement

Notre solution pour l'incontinence urinaire d'effort

ATOMS

ATOMS

Système mâle transobturateur réglable

Traitement de l'incontinence urinaire d'effort chez l'homme

Qu'est-ce que l'ATOMS ?

L’ATOMS est un implant ajustable à long terme et à usage unique. Ce système de coussin sphinctérien hydraulique soutient la fonction du sphincter urinaire chez les hommes adultes incontinents.

Quels sont les avantages d'ATOMS ?

[1] J. C. Angulo et al, “Patient satisfaction with adjustable transobturator male system in the Iberian multicenter study”, World J. Urol, vol. 37, no. 10, pp. 2189-2197, Oct. 2019, doi : 10.1007/s00345-019-02639-4.

[2] J. C. Angulo, I. Arance, C. Esquinas, J. F. Dorado, J. P. Marcelino et F. E. Martins, “Outcome Measures of Adjustable Transobturator Male System with Pre-attached Scrotal Port for Male Stress Urinary Incontinence After Radical Prostatectomy : A Prospective Study”, Adv. Ther, vol. 34, no. 5, p. 1173-1183, mai 2017, doi : 10.1007/s12325-017-0528-5.

[3] J. C. Angulo et al, “Results of Adjustable Trans-Obturator Male System in Patients with Prostate Cancer Treated with Prostatectomy and Radiotherapy : A Multicenter Study”, J. Clin.
Med.
12, no. 14, p. 4721, Jul. 2023, doi : 10.3390/jcm12144721.

[4] W. Bauer et C. Brössner, “Adjustable transobturator male system – ATOMS – for the treatment of postprostatectomy urinary incontinence : The surgical technique”, Pelviperineology, vol.
30, pp. 10-16, 2011,

[5] W. Bauer, M. Karik et P. Schramek, “The self-anchoring transobturator male sling to treat stress urinary incontinence in men : A new sling, a surgical approach and anatomical fi ndings in a cadaveric study,” BJU Int., vol. 95, no. 9, pp. 1364-1366, 2005, doi : 10.1111/j.1464 410X.2005.05530.x.

[6] R. C. Doiron et al, “Canadian Experience with the Adjustable Transobturator Male System for Post- Prostatectomy Incontinence : A Multicenter Study “, J. Urol, vol. 202, no. 5, pp. 1022-1028, nov. 2019, doi : 10.1097/JU.0000000000000420.

[7] J. F. Dorado et J. C. Angulo, “Refi ned Nomogram Incorporating Standing Cough Test Improves Prediction of Adjustable Trans-Obturator Male System (ATOMS) Success to Treat Post-Prostatectomy Male Stress Incontinence,” J. Pers.
Med.
12, no. 1, p. 94, janv. 2022, doi : 10.3390/jpm12010094.

[8] C. Esquinas, I. Arance, J. Pamplona, A. Moraga, J. F. Dorado, et J. C. Angulo, ” Tratamiento de la incontinencia urinaria de esfuerzo tras prostatectomía con el sistema masculino transobturador ajustable
(ATOMS®) con puerto escrotal premontado “, Actas Urológicas Españolas, vol.
42, no. 7, pp. 473-482, Sep. 2018, doi : 10.1016/j.acuro.2018.02.005.

[9] A. Friedl et al, ” Long-term outcome of the adjustable transobturator male system (ATOMS) : results of a European multicentre study “, BJU Int, vol. 119, no. 5, pp. 785-792, mai 2017, doi : 10.1111/bju.13684.

[10] A. Friedl, W. Bauer, M. Rom, D. Kivaranovic, W. Lüftenegger et C. Brössner, “Sexualité et fonction érectile après l’implantation d’un système transobturateur ajustable (ATOMS) pour l’incontinence urinaire à l’effort
. A multi-institutional prospective study”, Arch. Ital. di Urol. e Androl. vol. 87, no. 4, p. 306, Jan. 2016, doi : 10.4081/aiua.2015.4.306.

[11] P. Geretto et al, “Comparison Study between Artifi cial Urinary Sphincter and Adjustable Male Sling : A Propensity-Score-Matched Analysis,” J. Clin. Med., vol. 12, no. 17, p. 5489, août 2023, doi : 10.3390/
jcm12175489.

[12] A. Giammò et E. Ammirati, “Long-Term Survival Rate of ATOMS Implant for Male Stress Urinary Incontinence and Management of Late Complications”, J. Clin.
Med.
12, no. 6, p. 2296, Mar. 2023, doi : 10.3390/jcm12062296.

[13] S. Mühlstädt et al, “Five-year experience with the adjustable transobturator male system for the treatment of male stress urinary incontinence : a single-center evaluation”, World J. Urol, vol. 35, no. 1, pp. 145-151, Jan. 2017, doi : 10.1007/s00345-016-1839-x.

[14] S. Mühlstädt et al, “An overview of the ATOMS generations : port types, functionality and risk factors”, World J. Urol, vol. 37, no. 8, pp. 1679-1686, août 2019, doi : 10.1007/s00345-018-2548-4.

[15] F. Queissert et al, “ATOMS (Adjustable Transobturator Male System) Is an Effective and Safe Second Line Treatment Option for Recurrent Urinary Incontinence after Implantation of an AdVance/ AdVance XP Fixed Male Sling ? A Multicenter Cohort Analysis”, J. Clin.
Med.
11, no. 1, p. 81, Dec. 2021, doi : 10.3390/jcm11010081

[16] E. J. Redmond et al, “Multicentered Assessment of Clinical Outcomes and Factors Associated With Failure of the Adjustable TransObturator Male System (ATOMS)”, Urology, vol. 148, pp. 280-286, Feb. 2021, doi : 10.1016/j.urology.2020.09.045.

[17] A. Ullate et al, “ATOMS (Adjustable Trans-Obturator Male System) in Patients with Post-Prostatectomy Incontinence and Previously Treated Urethral Stricture or Bladder Neck Contracture,” J. Clin. Med., vol. 11, no. 16, p. 4882, août 2022, doi : 10.3390/jcm11164882.