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Dual implantation of penile prosthesis and ATOMS® system for post-prostatectomy erectile dysfunction and urinary incontinence: a feasibility study

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Fig. 1: Penile prosthesis implantation.
Fig. 2: ATOMS implantation.
Fig. 3: Double implantation.


  1. 1.

    Patel VR, Sivaraman A, Coelho RF, Chauhan S, Palmer KJ, Orvieto MA, et al. Pentafecta: a new concept for reporting outcomes of robot-assisted laparoscopic radical prostatectomy. Eur Urol. 2011;59:702–7.

    Article  PubMed  Google Scholar 

  2. 2.

    Giammò A, Ammirati E, Morgia G, Sandri S, Introini C, Canepa G, et al. Implant of ATOMS® system for the treatment of postoperative male stress urinary incontinence: an italian multicentric study. Eur Urol Suppl. 2018;17:249.

    Article  Google Scholar 

  3. 3.

    Dosanjh A, Baldwin S, Mytton J, King D, Trudgill N, Belal M, et al. A national study of artificial urinary sphincter and male sling implantation after radical prostatectomy in England. BJU Int. 2020;125:467–75.

    Article  PubMed  Google Scholar 

  4. 4.

    Biardeau X, Aharony S, Campeau L, Corcos J. Artificial urinary sphincter: report of the 2015 consensus conference. Neurourol Urodyn. 2016;35:S8–24.

  5. 5.

    MacDonald S, Colaco M, Terlecki R. Waves of change: national trends in surgical management of male stress incontinence. Urology. 2017;108:175–9.

    Article  PubMed  Google Scholar 

  6. 6.

    Loertzer H, Huesch T, Kirschner-Hermanns R, Anding R, Rose A, Brehmer B, et al. Retropubic vs transobturator Argus adjustable male sling: results from a multicenter study. Neurourol Urodyn. 2020;39:987–93.

    Article  PubMed  Google Scholar 

  7. 7.

    Salonia A, Adaikan G, Buvat J, Carrier S, El-Meliegy A, Hatzimouratidis K, et al. Sexual rehabilitation after treatment for prostate cancer—part 1: recommendations from the fourth international consultation for sexual medicine (ICSM 2015). J Sex Med. 2017;14:285–96.

    Article  PubMed  Google Scholar 

  8. 8.

    Kim DS, Yang KM, Chung HJ, Choi HM, Choi YD, Choi HK. AMS 700CX/CXM inflatable penile prosthesis has high mechanical reliability at long-term follow-up. J Sex Med. 2010;7:2602–7.

    Article  PubMed  Google Scholar 

  9. 9.

    Dhar NB, Angermeier KW, Montague DK. Long-term mechanical reliability of AMS 700CXTM/CXM inflatable penile prosthesis. J Urol. 2006;176:2599–601.

    Article  PubMed  Google Scholar 

  10. 10.

    Falcone M, Rolle L, Ceruti C, Timpano M, Sedigh O, Preto M, et al. Prospective analysis of the surgical outcomes and patients’ satisfaction rate after the AMS spectra penile prosthesis implantation. Urology. 2013;82:373–6.

    Article  PubMed  Google Scholar 

  11. 11.

    Rolle L, Ceruti C, Sedigh O, Timpano M, Destefanis P, Lillaz B, et al. Surgical implantation of artificial urinary device and penile prosthesis through trans-scrotal incision for postprostatectomy urinary incontinence and erectile dysfunction: synchronous or delayed procedure? Urology. 2012;80:1046–50.

    Article  PubMed  Google Scholar 

  12. 12.

    Martínez-Salamanca JI, Espinós EL, Moncada I, Portillo LD, Carballido J. Management of end-stage erectile dysfunction and stress urinary incontinence after radical prostatectomy by simultaneous dual implantation using a single trans-scrotal incision: surgical technique and outcomes. Asian J Androl. 2015;17:792–6.

    Article  PubMed  PubMed Central  Google Scholar 

  13. 13.

    Machioka K, Kadono Y, Naito R, Nakashima K, Iijima M, Kawaguchi S, et al. Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire-short form. Neurourol Urodyn. 2019;38:726–33.

    Article  PubMed  Google Scholar 

  14. 14.

    Shaw JW, Reardon G, Sandor DW, Rosen RC, Ferguson DM. Validation of stopwatch measurements of erection duration against responses to the sexual encounter profile and international index of erectile function in patients treated with a phosphodiesterase type 5 inhibitor. J Sex Med. 2010;7:1147–59.

    CAS  Article  PubMed  Google Scholar 

  15. 15.

    Althof SE, Corty EW, Levine SB, Levine F, Burnett AL, McVary K, et al. EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology. 1999;53:793–9.

    CAS  Article  Google Scholar 

  16. 16.

    Morey AF, Cefalu CA, Hudak SJ. High submuscular placement of urologic prosthetic balloons and reservoirs via transscrotal approach. J Sex Med. 2013;10:603–10.

    Article  PubMed  Google Scholar 

  17. 17.

    Goode PS, Burgio KL, Johnson TM, Clay OJ, Roth DL, Markland AD, et al. Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: A randomized controlled trial. JAMA. 2011;305:151–9.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  18. 18.

    Van Der Aa F, Drake MJ, Kasyan GR, Petrolekas A, Cornu JN. The artificial urinary sphincter after a quarter of a century:a critical systematic review of its use in male non-neurogenic incontinence. Eur Urol. 2013;63:681–9.

    Article  PubMed  Google Scholar 

  19. 19.

    Ferro M, Bottero D, D’Elia C, Matei DV, Cioffi A, Cozzi G, et al. Virtue male sling for post-prostatectomy stress incontinence: a prospective evaluation and mid-term outcomes. BJU Int. 2017;119:482–8.

    Article  PubMed  Google Scholar 

  20. 20.

    Giammò A, Ammirati E, Tullio A, Bodo G, Manassero A, Gontero P, et al. Implant of ATOMS® system for the treatment of postoperative male stress urinary incontinence: results of a single centre. Int Braz J Urol. 2019;45:127–36.

    Article  PubMed  PubMed Central  Google Scholar 

  21. 21.

    Montorsi F, Guazzoni G, Strambi LF, Da Pozzo LF, Nava L, Barbieri L, et al. Recovery of spontaneous erectile function after nerve-sparing radical retropubic prostatectomy with and without early intracavernous injections of alprostadil: results of a prospective, randomized trial. J Urol. 1997;158:1408–10.

    CAS  Article  Google Scholar 

  22. 22.

    Mykoniatis I, Albersen M, Andrianne R, Sokolakis I, Hatzichristodoulou G, Sempels M, et al. Synchronous surgery for the combined treatment of post-radical prostatectomy erectile dysfunction and stress urinary incontinence: a lucrative evolution or an unnecessary complexity? Int J Impot Res. 2020.

    Article  PubMed  Google Scholar 

  23. 23.

    Wilson SK, Aliotta PJ, Salem EA, Mulcahy JJ. New enhancements of the scrotal one-incision technique for placement of artificial urinary sphincter allow proximal cuff placement. J Sex Med. 2010;7:3510–5.

    Article  PubMed  Google Scholar 

  24. 24.

    Sellers CL, Morey AF, Jones LA. Cost and time benefits of dual implantation of inflatable penile and artificial urinary sphincter prosthetics by single incision. Urology. 2005;65:852–3.

    Article  PubMed  Google Scholar 

  25. 25.

    Rhee EY. Technique for concomitant implantation of the penile prosthesis with the male sling. J Urol. 2005;173:925–7.

  26. 26.

    Gorbatiy V, Westney OL, Romero C, Wang R. Outcomes of simultaneous placement of an inflatable penile prosthesis and a male urethral sling through a single perineal incision. J Sex Med. 2010;7:832–8.

    Article  PubMed  Google Scholar 

  27. 27.

    Yafi FA, Andrianne R, Alzweri L, Brady J, Butcher M, Chevalier D, et al. Andrianne mini-jupette graft at the time of inflatable penile prosthesis placement for the management of post-prostatectomy climacturia and minimal urinary incontinence. J Sex Med. 2018;15:789–96.

    Article  PubMed  Google Scholar 

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We would like to express a great appreciation to all physicians involved in this study for the great interest demonstrated toward this ambitious project and the accuracy demonstrated in collecting data.

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Correspondence to Marco Falcone.

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Falcone, M., Preto, M., Ammirati, E. et al. Dual implantation of penile prosthesis and ATOMS® system for post-prostatectomy erectile dysfunction and urinary incontinence: a feasibility study. Int J Impot Res 33, 577–582 (2021).

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