Late erosion of an Adjustable Transobturator Male System (ATOMS®) device

Introduction This report describes late erosion of an Adjustable Transobturator Male System device which was inserted for post‐prostatectomy incontinence. The Adjustable Transobturator Male System device eroded the bulbar urethra 5 years post insertion, despite initial improvement of symptoms. Case...

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Main Authors: Jessica A Paynter, Kirby R Qin, Justin Chee, Todd Manning, Janelle Brennan
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12804
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author Jessica A Paynter
Kirby R Qin
Justin Chee
Todd Manning
Janelle Brennan
author_facet Jessica A Paynter
Kirby R Qin
Justin Chee
Todd Manning
Janelle Brennan
author_sort Jessica A Paynter
collection DOAJ
description Introduction This report describes late erosion of an Adjustable Transobturator Male System device which was inserted for post‐prostatectomy incontinence. The Adjustable Transobturator Male System device eroded the bulbar urethra 5 years post insertion, despite initial improvement of symptoms. Case presentation Following an open radical retropubic prostatectomy, a 64 year‐old male patient developed post‐prostatectomy incontinence. He had a known urethral stricture and had also undergone salvage radiotherapy for biochemical recurrence of prostate cancer. His incontinence was initially successfully treated with an Adjustable Transobturator Male System device, yet this eroded his bulbar urethra 5 years post insertion, which was deemed to be a late erosion. Conclusion Urologists should be aware that late erosion of the Adjustable Transobturator Male System device can occur, and risk stratification of patients undergoing Adjustable Transobturator Male System device insertion may help to minimize erosion rates.
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spelling doaj-art-6b691059cfcb4d2b9f42de8ca6376cd32025-01-01T23:35:59ZengWileyIJU Case Reports2577-171X2025-01-0181444610.1002/iju5.12804Late erosion of an Adjustable Transobturator Male System (ATOMS®) deviceJessica A Paynter0Kirby R Qin1Justin Chee2Todd Manning3Janelle Brennan4Department of Urology Bendigo Health Bendigo Victoria AustraliaDepartment of Urology Bendigo Health Bendigo Victoria AustraliaDepartment of Urology Alfred Health Melbourne Victoria AustraliaDepartment of Urology Bendigo Health Bendigo Victoria AustraliaDepartment of Urology Bendigo Health Bendigo Victoria AustraliaIntroduction This report describes late erosion of an Adjustable Transobturator Male System device which was inserted for post‐prostatectomy incontinence. The Adjustable Transobturator Male System device eroded the bulbar urethra 5 years post insertion, despite initial improvement of symptoms. Case presentation Following an open radical retropubic prostatectomy, a 64 year‐old male patient developed post‐prostatectomy incontinence. He had a known urethral stricture and had also undergone salvage radiotherapy for biochemical recurrence of prostate cancer. His incontinence was initially successfully treated with an Adjustable Transobturator Male System device, yet this eroded his bulbar urethra 5 years post insertion, which was deemed to be a late erosion. Conclusion Urologists should be aware that late erosion of the Adjustable Transobturator Male System device can occur, and risk stratification of patients undergoing Adjustable Transobturator Male System device insertion may help to minimize erosion rates.https://doi.org/10.1002/iju5.12804Adjustable Transobturator Male SystemATOMSlate erosionpost‐prostatectomy incontinence
spellingShingle Jessica A Paynter
Kirby R Qin
Justin Chee
Todd Manning
Janelle Brennan
Late erosion of an Adjustable Transobturator Male System (ATOMS®) device
IJU Case Reports
Adjustable Transobturator Male System
ATOMS
late erosion
post‐prostatectomy incontinence
title Late erosion of an Adjustable Transobturator Male System (ATOMS®) device
title_full Late erosion of an Adjustable Transobturator Male System (ATOMS®) device
title_fullStr Late erosion of an Adjustable Transobturator Male System (ATOMS®) device
title_full_unstemmed Late erosion of an Adjustable Transobturator Male System (ATOMS®) device
title_short Late erosion of an Adjustable Transobturator Male System (ATOMS®) device
title_sort late erosion of an adjustable transobturator male system atoms r device
topic Adjustable Transobturator Male System
ATOMS
late erosion
post‐prostatectomy incontinence
url https://doi.org/10.1002/iju5.12804
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AT toddmanning lateerosionofanadjustabletransobturatormalesystematomsdevice
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