Original Title: ATOMs – Adjustable Transobturator Male System. Dispositivo para incontinencia de orina

Authors' objectives: To assess the effectiveness and possible benefits and adverse effects of the ATOMS device (adjustable transobturator male system) for urinary incontinence after prostatectomy. To use the same method to localise information about the costs of the new technique.

Authors' results and conclusions: The ATOMS mesh presents satisfactory short-term results in comparison to other male meshes and may be a candidate that could occupy an important position for patients that suffer from problems of incontinence after receiving treatment for prostate cancer. The treatment is suitable for irradiated patients as the mesh is implanted on the bulbocavernosus muscle. Furthermore, patients can urinate without having to activate any mechanical components. On the other hand, the most common side effects are scrotal/perineal dysesthesia or pain, although this may be controlled with specific drugs. It presents as a safe, effective and well tolerated method without severe adverse effects. Its greatest advantage is the option of adjusting the tension of the sling according the patient’s needs. This adjustment is not very necessary according to the literature, but it is useful and direct when required. Conclusions A progression in the learning curve for professionals is required, along with longer monitoring periods and studies with more cases to establish definitive conclusions about long-term effectiveness of the treatment.

Authors' methods: A bibliographical search has been carried out to respond to the objective of this study. The strategy included, amongst others, the following terms in free and controlled language: prostatectomy y adjustable transobturator male system or ATOMS. Specific searches were also conducted of the device using the following terms: adjustable transobturator male system or ATOMS. The results were limited to the ones where the language was Spanish or English.

Project Status: Completed

Year Published: 2017

URL for published report: https://www.ogasun.ejgv.euskadi.eus/r51-catpub/es/k75aWebPublicacionesWar/k75aObtenerPublicacionDigitalServlet?R01HNoPortal=true&N_LIBR=051938&N_EDIC=0001&C_IDIOM=es&FORMATO=.pdf

English language abstract: An English language summary is available

Publication Type: Rapid Review

Country: Spain

Organisation Name: Basque Office for Health Technology Assessment

Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz

Contact Name: Lorea Galnares-Cordero

Contact Email: lgalnares@bioef.eus

Copyright: Osteba (Basque Office for Health Technology Assessment) Health Department of the Basque Government