Excessive fibrosis and non-function after ATOMS (adjustable transobturator male system): A case of capsular contracture?
| Autor: | Jannik Stuehmeier, Lukas Andrius Jelisejevas, Alexandra Gulacsi, Wolgang Horninger, Marco Pedrini, Peter Rehder |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment 030232 urology & nephrology Fibrosis and complications Urinary incontinence lcsh:RC870-923 Prosthesis System a ATOMS 03 medical and health sciences 0302 clinical medicine Atrophy Fibrosis medicine Visible blood Capsular contracture Functional Medicine business.industry medicine.disease lcsh:Diseases of the genitourinary system. Urology Surgery Urethra medicine.anatomical_structure Radical prostatectomy and urinary incontinence 030220 oncology & carcinogenesis medicine.symptom business |
| Zdroj: | Urology Case Reports, Vol 32, Iss, Pp 101241-(2020) Urology Case Reports |
| ISSN: | 2214-4420 |
| Popis: | 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? |
| Databáze: | OpenAIRE |
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