Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?

The adjustable transobturator male system (ATOMS) treats post-prostatectomy urinary incontinence by compression of the proximal bulbous urethra. It reminds of the Kaufman prosthesis described in 1978. We describe a case where an excessive fibrotic reaction occurred around the cushion. Furthermore, t...

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Detalles Bibliográficos
Autores principales: Pedrini, Marco, Stuehmeier, Jannik, Jelisejevas, Lukas Andrius, Gulacsi, Alexandra, Horninger, Wolgang, Rehder, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Functional Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225744/
https://www.ncbi.nlm.nih.gov/pubmed/32426236
http://dx.doi.org/10.1016/j.eucr.2020.101241
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author Pedrini, Marco
Stuehmeier, Jannik
Jelisejevas, Lukas Andrius
Gulacsi, Alexandra
Horninger, Wolgang
Rehder, Peter
author_facet Pedrini, Marco
Stuehmeier, Jannik
Jelisejevas, Lukas Andrius
Gulacsi, Alexandra
Horninger, Wolgang
Rehder, Peter
author_sort Pedrini, Marco
collection PubMed
description The adjustable transobturator male system (ATOMS) treats post-prostatectomy urinary incontinence by compression of the proximal bulbous urethra. It reminds of the Kaufman prosthesis described in 1978. We describe a case where an excessive fibrotic reaction occurred around the cushion. Furthermore, the bulbous urethra underneath, developed severe atrophy devoid of any visible blood supply. We suspect ongoing shear forces around the cushion while sitting resulting in a chain reaction of acute through chronic inflammation and progressive fibrosis and encapsulation. Does the encapsulation lead to capsular contracture resulting in non-function?
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spelling pubmed-72257442020-05-18 Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture? Pedrini, Marco Stuehmeier, Jannik Jelisejevas, Lukas Andrius Gulacsi, Alexandra Horninger, Wolgang Rehder, Peter Urol Case Rep Functional Medicine The adjustable transobturator male system (ATOMS) treats post-prostatectomy urinary incontinence by compression of the proximal bulbous urethra. It reminds of the Kaufman prosthesis described in 1978. We describe a case where an excessive fibrotic reaction occurred around the cushion. Furthermore, the bulbous urethra underneath, developed severe atrophy devoid of any visible blood supply. We suspect ongoing shear forces around the cushion while sitting resulting in a chain reaction of acute through chronic inflammation and progressive fibrosis and encapsulation. Does the encapsulation lead to capsular contracture resulting in non-function? Elsevier 2020-05-06 /pmc/articles/PMC7225744/ /pubmed/32426236 http://dx.doi.org/10.1016/j.eucr.2020.101241 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Functional Medicine
Pedrini, Marco
Stuehmeier, Jannik
Jelisejevas, Lukas Andrius
Gulacsi, Alexandra
Horninger, Wolgang
Rehder, Peter
Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
title Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
title_full Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
title_fullStr Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
title_full_unstemmed Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
title_short Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
title_sort excessive fibrosis and non-function after atoms (adjustable transobturator male system): a case of capsular contracture?
topic Functional Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225744/
https://www.ncbi.nlm.nih.gov/pubmed/32426236
http://dx.doi.org/10.1016/j.eucr.2020.101241
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