Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant.
Aims:: To evaluate which parameters predicted the presence of detrusor overactivity after ATOMS implant in patients who had post prostatectomy urinary incontinence (PPI). Method:: We carried out a prospective study in 56 patients submitted to ATOMS implant for PPI. The study consisted of a clinical...
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Elsevier
2025-06-01
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| Series: | Continence Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772974525000079 |
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| author | Miguel Vírseda-Chamorrro Sonia Ruiz-Graña Jesús Salinas-Casado Javier Angulo Cuesta |
| author_facet | Miguel Vírseda-Chamorrro Sonia Ruiz-Graña Jesús Salinas-Casado Javier Angulo Cuesta |
| author_sort | Miguel Vírseda-Chamorrro |
| collection | DOAJ |
| description | Aims:: To evaluate which parameters predicted the presence of detrusor overactivity after ATOMS implant in patients who had post prostatectomy urinary incontinence (PPI). Method:: We carried out a prospective study in 56 patients submitted to ATOMS implant for PPI. The study consisted of a clinical and urodynamic record before and after ATOMS implantation. We built a multivariate model to find out which variables independently influenced postoperative DO and a ROC curve to decide the best cut-off value. Results:: We found that the preoperative variables were age, detrusor pressure at maximum flow rate (PQmax) the urethral resistance parameter URA and the bladder contractility index (BCI) and the postoperative variables were, the number of ATOMS adjustments, cystometric bladder capacity, bladder compliance, maximum detrusor pressure, PQmax, bladder outflow obstruction index, URA and the presence of acontractile detrusor. The multivariate model showed that the only independent variables were age (inversely related with the presence of postoperative DO), and URA (directly related). The cut-off point of URA was established at 10. 5 cm H2O. Conclusions:: the degree of postoperative resistance measured by the URA parameter and age were the two factors that independently influenced the presence of postoperative DO. It is possible that these parameters are related to the reaction of detrusor muscle to the increase in postoperative urethral resistance. |
| format | Article |
| id | doaj-art-3c2d7e9824094b29b4340ba4a6ecdc65 |
| institution | Kabale University |
| issn | 2772-9745 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence Reports |
| spelling | doaj-art-3c2d7e9824094b29b4340ba4a6ecdc652025-08-20T03:31:24ZengElsevierContinence Reports2772-97452025-06-011410008410.1016/j.contre.2025.100084Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant.Miguel Vírseda-Chamorrro0Sonia Ruiz-Graña1Jesús Salinas-Casado2Javier Angulo Cuesta3Urologic Department, Hospital Nacional de Parapléjicos, Toledo, Spain; Correspondence to: Urologic Department, Hospital Nacional de Parapléjicos, Finca la Peraleda s/n, 45071, Toledo, Spain.Urologic Department, Hospital Universitario de Getafe, Madrid, SpainUrologic Department, Hospital Clínico San Carlos, Complutense University, Madrid, SpainUrologic Department, Hospital Universitario de Getafe, Madrid, SpainAims:: To evaluate which parameters predicted the presence of detrusor overactivity after ATOMS implant in patients who had post prostatectomy urinary incontinence (PPI). Method:: We carried out a prospective study in 56 patients submitted to ATOMS implant for PPI. The study consisted of a clinical and urodynamic record before and after ATOMS implantation. We built a multivariate model to find out which variables independently influenced postoperative DO and a ROC curve to decide the best cut-off value. Results:: We found that the preoperative variables were age, detrusor pressure at maximum flow rate (PQmax) the urethral resistance parameter URA and the bladder contractility index (BCI) and the postoperative variables were, the number of ATOMS adjustments, cystometric bladder capacity, bladder compliance, maximum detrusor pressure, PQmax, bladder outflow obstruction index, URA and the presence of acontractile detrusor. The multivariate model showed that the only independent variables were age (inversely related with the presence of postoperative DO), and URA (directly related). The cut-off point of URA was established at 10. 5 cm H2O. Conclusions:: the degree of postoperative resistance measured by the URA parameter and age were the two factors that independently influenced the presence of postoperative DO. It is possible that these parameters are related to the reaction of detrusor muscle to the increase in postoperative urethral resistance.http://www.sciencedirect.com/science/article/pii/S2772974525000079Detrusor overactivityPostprostatectomy urinary incontinenceUrodynamicsStress urinary incontinenceMale sling |
| spellingShingle | Miguel Vírseda-Chamorrro Sonia Ruiz-Graña Jesús Salinas-Casado Javier Angulo Cuesta Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant. Continence Reports Detrusor overactivity Postprostatectomy urinary incontinence Urodynamics Stress urinary incontinence Male sling |
| title | Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant. |
| title_full | Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant. |
| title_fullStr | Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant. |
| title_full_unstemmed | Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant. |
| title_short | Parameters which predict detrusor overactivity after adjustable trans obturator male system (ATOMS) implant. |
| title_sort | parameters which predict detrusor overactivity after adjustable trans obturator male system atoms implant |
| topic | Detrusor overactivity Postprostatectomy urinary incontinence Urodynamics Stress urinary incontinence Male sling |
| url | http://www.sciencedirect.com/science/article/pii/S2772974525000079 |
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