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Early results of a European multicentre experience with a new self‐anchoring adjustable transobturator system for treatment of stress urinary incontinence in men

Surgical treatment options for male stress urinary incontinence (SUI) include collagen injection, artificial urinary sphincter, or male sling placement. In recent years, various minimally invasive sling systems have been investigated as treatment options for post‐prostatectomy SUI. One of the drawbacks of using male slings is the lack of ability to make postoperative adjustments. To overcome the challenges associated with peri‐ and postoperative adjustment of male sling systems, the adjustable transobturator male system (ATOMS®) was introduced. Our initial European multicentre experience with this device treatment shows a significant improvement in the severity of incontinence and mean pad use as well as quality‐of‐life scores. Our data suggest that the ability at any time to make adjustments in male sling systems should be considered as a prerequisite when managing men with SUI.