What question did this study set out to answer?

To describe the treatment of a 66-year-old male with stress urinary incontinence and erectile dysfunction using combined devices.

June 6, 2026

(543) Doble Implant with Infrapubic Penile Prosthesis and ATOMS Incontinence Device

Puntos clave

To describe the treatment of a 66-year-old male with stress urinary incontinence and erectile dysfunction using combined devices.
66-year-old male with prostate adenocarcinoma treated with laparoscopic prostatectomy and radiotherapy.
Underwent simultaneous implantation of ATOMS system and penile prosthesis via an infrapubic approach.
Clinical assessments included cystoscopy, urodynamic studies, and pad tests.
Procedure was uneventful with significant symptomatic improvement noted during follow-up.
ATOMS implant demonstrated safety and effectiveness for treating post-prostatectomy urinary incontinence.
Penile prosthesis was identified as an effective solution for erectile dysfunction in this case.

Resumen

Abstract Introduction Urinary incontinence and erectile dysfunction are both common conditions, often underdiagnosed due to patients’ reluctance to seek medical attention. They have a major personal and social impact on quality of life. Proper management requires identifying the underlying cause or type, as both conditions may share or stem from a common pathological process. Objective To describe the management of a 66-year-old male with simultaneous stress urinary incontinence and erectile dysfunction, treated with a combined ATOMS system and a three-component penile prosthesis. Methods A 66-year-old male with a history of prostate adenocarcinoma, Gleason score 3+4 (7/10), treated with extraperitoneal laparoscopic radical prostatectomy in September 2020, followed by adjuvant radiotherapy to the prostate bed from September 2021 to January 2022. PSA levels remained stable between 0.04–0.08 ng/mL. He presented with total erectile dysfunction and stress urinary incontinence. Cystoscopy showed a competent sphincter and normal urethra and bladder. Urodynamic studies ruled out detrusor overactivity and obstruction. Pad test: 250 g; ICIQ-SF: 4+2+5. Moderate stress urinary incontinence was observed at 230 cc, with pAbd of 145 cmH₂O. Painful, poorly tolerated erections were noted with Caverject, and penile curvature of 30° to the left. The patient therefore underwent simultaneous implantation of an ATOMS system and a three-component penile prosthesis through an infrapubic approach. Results The procedure was uneventful, and the patient was discharged with subsequent clinical improvement observed during follow-up. Conclusions The ATOMS implant has proven to be a safe and effective option for the treatment of post-prostatectomy stress urinary incontinence, providing significant symptomatic improvement. Although typically considered a later-line treatment for erectile dysfunction, the penile prosthesis remains a highly effective solution in patients who do not respond to less invasive therapies. Disclosure No

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