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#22895

Influence of Adjustable Trans-Obturator Male System (ATOMS) implant on the voiding phase of males with post-prostatectomy urinary incontinence: ATOMS does not cause obstruction. Vírseda-Chamorrol M1, Ruiz-Graña S2, Arance-Gil I2, Fabian Q3, Jesús S4, Angulo-Cuesta J2 1. Department of Urology Hospital Nacional de Parapléjicos. Toledo (Spain), 2. Department of Urology. Hospital de Getafe. Clinical Department. Faculty of Medical Sciences. Universidad Europea de Madrid. Madrid (Spain), 3. Department of Urology and Pediatric Urology. University Hospital of Muenster. Muester (Germany), 4. Department of Urology. Hospital Clínico de San Carlos. Universidad Complutense. Madrid (spain) KEYWORDS: Bladder Outlet Obstruction , Male, Urodynamics Techniques, Stress Urinary Incontinence The surgical treatment of post-prostatectomy urinary incontinence (PPI) is based on returning the function of urethral sphincter mechanism by increasing urethral pressure either through artificial urinary sphincter (AUS) or male slings (adjustable or non-adjustable) Adjustable trans-obturator male system (ATOMS ®, A.M.I., Feldkirch, Austria) has demonstrated effectiveness for the treatment of PPI both in multicentre studies performed in Europe and Canada and meta-analysis. However, unlike AUS there is no possibility to deactivate it. Consequently, the increase in urethral pressure is maintained throughout the voiding phase. Studies performed on females after incontinence surgery have shown an increase of urethral resistance that leads to bladder outlet obstruction (BOO) in a non-negligible number of patients (1) . This kind of studies have not been conducted with ATOMS device. Consequently, our purpose is to assess the changes in the voiding phase after ATOMS implantation in male patients with PPI.