ATOMS Prosthesis for Male Urinary Incontinence in Lucena

The ATOMS implant (Adjustable Transobturator Male System) is considered the most effective solution for treatingstress urinary incontinence (SUI)—a common side effect following prostate surgery, whether for cancer (radical prostatectomy) or benign conditions.

This hydraulic system is suitable for all degrees of urinary incontinence, including in patients who have undergone radiotherapy.

The main reason for choosing the ATOMS system is that it replaces the function of the urinary sphincter, helping to restore bladder control and eliminate the discomfort and limitations caused by incontinence—immediately and permanently.

Its most notable feature is its adjustability: the system can be easily fine-tuned over time in an outpatient setting, adapting to changes in the severity of incontinence without requiring additional surgery.

Request a surgical assessment consultation with the Urology Team of Hospital Centro de Andalucia

If you are considering the implantation of a sub-urethral sphincter prosthesis to treat male urinary incontinence, you can request a free consultation with the Urology Team of Hospital Centro de Andalucia in Lucena through Operarme.

During the consultation, you’ll have the opportunity to meet the specialist, who will assess your case and recommend the most appropriate treatment for your specific condition.

If you would like more information before booking your appointment, you can contact the Operarme team through the contact form, by calling at  +34 91 141 33 56, or by clicking the image below.

Do you have incontinence issues?

Request now a free surgical consultation with our Urology specialist to evaluate your case for Male Urinary Incontinence Surgery.

Make an appointment

Once your consultation request has been submitted, one of our Patient Service Advisors will contact you to answer any questions you may have and to confirm that the scheduled date and time suit your availability.

On the day of your consultation with the Urology Team of Hospital Centro de Andalucia, please bring all the medical and diagnostic tests you have related to your condition. 

The specialist will review your medical history, carry out a physical examination if necessary, and assess any tests provided (such as ultrasounds, blood work, etc.). These medical records will allow them to determine the most appropriate treatment for you.

After the consultation, our Patient Service Team will follow up with you to ask how everything went and whether you’ve decided to proceed with the surgery.

If you choose to go ahead, they will guide you through the next steps, schedule your preoperative and anesthesia appointments, and address any doubts or concerns you may have throughout the process.

Below, we explain the entire ATOMS prosthesis procedure step by step, including preoperative preparations and post-operative care instructions leading to full recovery.

Preoperative Assessment for the ATOMS Implant

To evaluate your overall health prior to the surgical implantation of the ATOMS hydraulic sphincter prosthesis, the following tests will be conducted:

• Electrocardiogram (ECG): To assess the condition of your heart.
• Chest X-ray: Not always required, this test is only requested if the physician considers it necessary. It helps identify potential pulmonary issues and ensures proper alignment of the trachea.
• Comprehensive blood work: This includes a complete blood count (CBC), basic coagulation panel, renal function tests, and glucose levels. A urinalysis will also be performed to rule out any infections.
• Consultation with the anesthesiologist: You must inform the anesthesiologist of any allergies, medications you are currently taking (prescribed or otherwise), and any past surgeries. This consultation will help determine the most appropriate type of anesthesia for your surgery.

The ATOMS procedure for male stress urinary incontinence is typically performed under spinal or regional anesthesia.

If the anesthesiologist confirms you are fit for surgery, the next step is to proceed with the procedure at the hospital.

Step-by-step: treatment for male stress urinary incontinence with the ATOMS Mesh

When the time comes, you will be admitted to the Hospital Centro de Andalucia | Amaveca. After submitting your documentation and being admitted, the medical staff will begin preparing you for surgery. 

You will then be taken to the operating room, where you’ll meet again with the Urology Team, the anesthesiologist, and one or more members of the nursing staff who will assist during the procedure.

To help you better understand what the surgical procedure involves, here are the steps typically followed in the operating room:

1. The implantation of the ATOMS sub-urethral prosthesis takes approximately 50 to 60 minutes.
   
   
2. Once the anesthesia takes effect, the urologist will insert a urinary catheter and make a small perineal incision to access the sphincter area.
   
   
3. Using tunneling needles, the surgeon will guide the fixation arms of the mesh through the pelvic bones, around the inferior pubic ramus, achieving four anchor points to secure the sub-urethral cushion.
   
   
4. Next, the central component—a trapezoidal cushion—is adjusted to compress the urethral walls, thereby preventing involuntary urine leakage after surgery.
   
   
5. The adjustment port is then positioned at the scrotal level. This port is connected to the cushion via a silicone catheter.
   
   
6. Once the catheter is in place, a puncture is used to regulate the pressure the device exerts on the urethra by injecting the necessary amount of saline solution.
   
   
7. Finally, the perineal incision is closed with surgical sutures, and the catheter is removed.

The procedure is performed under regional or spinal anesthesia, and as mentioned, it typically lasts between 50 and 60 minutes.

After the operation, you’ll be taken to the recovery room until the anesthesia wears off. Once stable, you’ll be transferred to your room, where you will stay for 24 hours to ensure everything is progressing well.

In general, you will need a few days to return to your normal daily activities, beginning with the lightest tasks. Most specialists recommend waiting about 10 to 15 days before resuming sexual activity.

Surgery for male stress urinary incontinence using the ATOMS prosthesis offers a wide range of benefits, including:

• Sphincter function replacement: After surgery, many patients experience immediate dryness without requiring further adjustments. The system allows for normal, physiological urination without the need for any mechanical manipulation.
  
  
• Hydraulic system without mechanical components: The ATOMS device has no mechanical parts, which eliminates the risk of failure due to wear and tear over time, a common concern with mechanical implants.
  
  
• Lifetime adjustability: The system can be adjusted at any time—even years after implantation—allowing it to adapt to the patient’s changing condition. It also permits future endourological procedures without needing additional surgery.
  
  
• Minimally invasive surgery: The procedure is low-risk and minimally invasive, enabling a quick and smooth recovery.
  
  
• Fast recovery: Thanks to the precision in placement and careful surgical technique, postoperative pain is minimal and temporary, and patients typically return to daily life very quickly.
  
  
• Suitable for all levels of incontinence: The ATOMS prosthesis is effective for mild, moderate, and severe incontinence, and can also be used in patients who have undergone radiotherapy.

Besides the medical benefits of the ATOMS hydraulic prosthesis, there are exclusive advantages to having your procedure done through Operarme:

• Free surgical assessment: You can book a free consultation with the Urology Team of Hospital Centro de Andalucia to evaluate your case and discuss the best treatment option.
• All-inclusive fixed price: We guarantee a fixed, transparent price from the start, with everything included, so there are no unexpected costs.
• Personalized patient care: Our Patient Service Team will guide you through the entire process, answering your questions and making sure you feel supported and informed at every step.
• Medical complications insurance: All surgeries with hospital admission include complications insurance, which covers unexpected issues such as an extra night’s stay or a potential reoperation if necessary.

The price for ATOMS prosthesis surgery for male urinary incontinence in Lucena is 12.990 €. This is a fixed price with everything included, with no hidden fees.

The price for male urinary incontinence surgery with the ATOMS mesh includes everything necessary to ensure the success of the procedure. Below is a breakdown of all the necessary factors. 

These include:

• Operating room reservation and use.
• Private room with a companion bed. Meals and hospitality for the patient for up to 1 day.
• Complete preoperative study.
• Postoperative visit.
• Medical fees.
• Anesthesia fees.
• Nursing team fees.
• Surgical materials necessary for the procedure. A.M.I.® ATOMS System sub-urethral prosthesis.
• Anesthesia and recovery room reservation.
• Medical complications insurance.
  

Additionally, we prioritize your peace of mind and comfort throughout the entire process. Therefore, we offer free transportation from your home to the hospital on the day of admission, as well as a return trip home on the day of discharge. 

Please check the conditions of the transportation service.

If you’re considering a safe and effective solution to male urinary incontinence with the support of expert urologists, you can request your free surgical consultation by filling out our contact form, calling us at  +34 91 141 33 56, or clicking the image below: