Work

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

Year: 2024

Type: article

Abstract: 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.

Source: IJU Case Reports

DOI: 10.1002/iju5.12804

Authors: Jessica A Paynter, Kirby R Qin, Justin Chee, Todd Manning, Janelle Brennan

Institutions: Bendigo Health, Bendigo Hospital, Monash University, The Alfred Hospital, Alfred Health

Language: English

Topic: Pelvic floor disorders treatments

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,320