Functional Magnetic Stimulation for Post-Prostatectomy Urinary Incontinence: A Retrospective Cohort Study of Real-World Outcomes and Factors Associated with Treatment Response

Introduction

Post-prostatectomy urinary incontinence represents a major determinant of postoperative quality of life. Functional magnetic stimulation (FMS) is a non-invasive pelvic floor rehabilitation modality used in the conservative management of post-prostatectomy urinary incontinence; however, rehabilitation-related factors influencing treatment response remain insufficiently defined. The objective of this study was to evaluate real-world outcomes after an FMS protocol and to identify clinical and therapeutic factors associated with an investigator-defined exploratory response. Materials and Methods: This retrospective, single-center cohort study included 67 men treated with functional magnetic stimulation for urinary incontinence after radical prostatectomy. The primary endpoint was the post-FMS response score, assessed using an investigator-defined, non-validated 0–5 ordinal clinical response scale. Clinical, oncological, surgical, and rehabilitation-related variables were analyzed. Associations with treatment response were evaluated using univariable analyses and primary multivariable ordinal logistic regression.