https://doi.org/10.4081/aiua.2026.14666
TOP Flat Magnetic Stimulation therapy for post-prostatectomy stress urinary incontinence
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Published: 5 February 2026
Background: The most frequent complication in subjects of a radical prostatectomy (RP) is represented by urinary incontinence (UI), which can arise following the destruction of the pelvic floor muscles.
Objectives: The aim of this retrospective analysis was to assess the effect of Flat Magnetic Stimulation (FMS) in treating male stress urine incontinence (SUI) following RP.
Materials and methods: A total of 40 patients affected by SUI after RP, with a mean age of 56.8 (± 5.7) years old, underwent eight sessions with FMS. The Incontinence Impact Questionnaire-Short Form (IIQ-7) was administered from baseline up to 3 months of follow-up (3MFU) after the last treatment session. All possible adverse events were retrospective analysed.
Results: The analysis demonstrates that the scores for each individual questionnaire item decreased from baseline up to 3MFU after the last treatment session, leading to a significant (p < 0.05) reduction in the total IIQ-7 median score from 71.35 (66.6-76.11) at baseline to 28.54 (38.05-23.78) at 3MFU after the last treatment session. No adverse events were recorded over the whole course of treatment.
Conclusions: Our findings reveal that this technology may serve as a convenient and alternative treatment option for stress-caused urinary incontinence following RP.
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1. Gacci M, Baldi E, Tamburrino L, et al. Quality of life and sexual health in the aging of PCa survivors. Int. J. Endocrinol. 2014;2014:1-16. DOI: https://doi.org/10.1155/2014/470592
2. Rahnama’I MS, Marcelissen T, Geavlete B, et al. Current management of post-radical prostatectomy urinary incontinence. Front Surg. 2021; 8:647656. DOI: https://doi.org/10.3389/fsurg.2021.647656
3. Litwin M, Melmed GY, Nakazon T. Life after radical prostatectomy: A longitudinal study. J. Urol. 2001; 166:587-592. DOI: https://doi.org/10.1016/S0022-5347(05)65989-7
4. Gacci M, Simonato A, Masieri L, et al. Urinary and sexual outcomes in long-term (5+ years) prostate cancer disease free survivors after radical prostatectomy. Health Qual. Life Outcomes 2009; 7:94. DOI: https://doi.org/10.1186/1477-7525-7-94
5. Yu K, Bu F, Jian T. Urinary incontinence rehabilitation of after radical prostatectomy: a systematic review and network meta-analysis. Front Oncol. 2024; 13:1307434. DOI: https://doi.org/10.3389/fonc.2023.1307434
6. Yip SK, Chan A, Pang S, et al. The impact of urodynamic stress incontinence and detrusor overactivity on marital rela-tionship and sexual function. Am J Obstet Gynecol. 2003; 188:1244-1248. DOI: https://doi.org/10.1067/mob.2003.273
7. Castel E, Saussine C, Fourmarier M, et al. Management of male urinary incontinence after radical prostatectomy (CTMH AFU 2006-2/5): place of perineal rehabilitation and medical treatment. Prog Urol. 2008; 18:19-22. DOI: https://doi.org/10.1016/j.purol.2007.10.001
8. Gacci M, De Nunzio C, Sakalis V, et al. Latest evidence on post-prostatectomy urinary incontinence. J Clin Med. 2023; 12:1190. DOI: https://doi.org/10.3390/jcm12031190
9. Turner DA, Shaw C, McGrother CW, et al. The cost of clinically significant urinary storage symptoms for community dwelling adults in the UK. BJU Int. 2004; 93:1246-52. DOI: https://doi.org/10.1111/j.1464-410x.2004.04806.x
10. Hagen S, Elders A, Stratton S, et al. Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial. BMJ 2020; 371:m3719. DOI: https://doi.org/10.1136/bmj.m3719
11. Leroi AM, Lenne X, Dervaux B, et al. Outcome and cost analysis of sacral nerve modulation for treating urinary and/or fecal incontinence. Ann Surg. 2011; 253:720-32. DOI: https://doi.org/10.1097/SLA.0b013e318210f1f4
12. Hodges P, Stafford R, Coughlin GD, et al. Efficacy of a personalised pelvic floor muscle training programme on urinary incontinence after radical prostatectomy (MaTchUP): protocol for a randomised controlled trial. BMJ Open. 2019; 9:e028288. DOI: https://doi.org/10.1136/bmjopen-2018-028288
13. Yount SM, Fay RA, Kissler KJ. Prenatal and postpartum experience, knowledge and engagement with Kegels: a longitudinal, prospective, multisite study. J Womens Health (Larchmt). 2021;30:891-901. DOI: https://doi.org/10.1089/jwh.2019.8185
14. Milani R, Barba M, Manodoro S, et al. Inability to walk and persistent thigh pain after transobturator tape procedure for stress urinary incontinence: Surgical management. Int. Urogynecol. J. 2021;32:1317-1319. DOI: https://doi.org/10.1007/s00192-020-04666-x
15. Bump R, Yalcin I, Voss S. The effect of duloxetine dose escalation and tapering on the incidence of adverse events (AE) in women with stress urinary incontinence (SUI). Neurourol Urodyn. 2005; 24:582-583.
16. Breyer BN, Kim SK, Kirkby E, et al. Updates to incontinence after prostate treatment: AUA/GURS/SUFU Guideline (2024). J Urol. 2024; 212:531-538. DOI: https://doi.org/10.1097/JU.0000000000004088
17. Bauer RM, Soljanik I, Fullhase C, et al. Mid-term results for the retroluminar transobturator sling suspension for stress urinary incontinence after prostatectomy. BJU Int. 2011; 108:94-98. DOI: https://doi.org/10.1111/j.1464-410X.2010.09729.x
18. Tricard T, Song QX, Munier P, et al. Adjustable continence therapy (ProACT) for the treatment of male stress urinary incontinence postprostatectomy: a systematic review and metaanalysis (2023 update). World J Urol. 2023; 41:1793-1802. DOI: https://doi.org/10.1007/s00345-023-04452-6
19. Vadala M, Palmieri B, Malagoli A, Laurino C. Highpower magnetotherapy: a new weapon in urinary incontinence? Low Urin Tract Symptoms. 2018; 10:266-270. DOI: https://doi.org/10.1111/luts.12174
20. Silantyeva E, Zarkovic D, Soldatskaia R, et al. Electromyographic evaluation of the pelvic muscles activity after high-intensity focused electromagnetic procedure and electrical stimulation in women with pelvic floor dysfunction. Sex Med. 2020;8:282-289. DOI: https://doi.org/10.1016/j.esxm.2020.01.004
21. Samuels JB, Pezzella A, Berenholz J, Alinsod R. Safety and efficacy of a non-invasive High-Intensity Focused Electro-magnetic Field (HIFEM) device for treatment of urinary incontinence and enhancement of quality of life. Lasers Surg Med. 2019; 51:760-766. DOI: https://doi.org/10.1002/lsm.23106
22. Gozlersuzer O, Yalvac B, Cakiroglu B. Investigation of the effectiveness of magnetic field therapy in women with urinary incontinence: Literature review. Urologia 2023; 90:51-57. DOI: https://doi.org/10.1177/03915603211069010
23. Barba M, Cola A, Rezzan G. Flat magnetic stimulation for stress urinary incontinence: a 3-month follow-up study. Healthcare (Basel) 2023; 11:1730. DOI: https://doi.org/10.3390/healthcare11121730
24. Mondaini N, Gacci M, Cai T, et al. Electromagnetic stimulation to reduce the hypertonia of the pelvic floor muscles and improve chronic pelvic pain in women. Arch Ital Urol Androl. 2024; 96:12623. DOI: https://doi.org/10.4081/aiua.2024.12623
25. Biondo A, Isaza PG, Fusco I. Efficacy of top flat magnetic stimulation technology for female stress and urge urinary incontinence: a clinical evaluation. World J Nephrol Urol 2022; 11:18-23. DOI: https://doi.org/10.14740/wjnu432
26. Filippini M, Biordi N, Curcio A, et al. Qualitative and quantitative study to evaluate the effectiveness and safety of magnetic stimulation in women with urinary incontinence symptoms and pelvic floor disorders. Medicina (Kaunas). 2023; 59:879. DOI: https://doi.org/10.3390/medicina59050879
27. Galimberti D, Echague AV, Ko EA. Novel emerging therapy for erectile dysfunction: efficacy and safety of flat magnetic stimulation. Arch Ital Urol Androl. 2024;96:12506. DOI: https://doi.org/10.4081/aiua.2024.12506
28. Mondaini N, Gacci M, Cai T, et al. Efficacy of top flat magnetic stimulation for chronic pelvic pain in men: preliminary results. Int J Impot Res. 2024; 36:665-667. DOI: https://doi.org/10.1038/s41443-023-00822-1
29. González Isaza P, Sanchez Borrego R, Fusco I. A case of stress urinary incontinence after radical prostatectomy successfully treated with an innovative device based on top flat magnetic stimulation. World J Urol. 2022; 40:1887-1889. DOI: https://doi.org/10.1007/s00345-022-04007-1
30. Uebersax JS, Wyman JF, Shumaker SA, et al. Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn. 1995; 14:131-9. DOI: https://doi.org/10.1002/nau.1930140206
31. Moore KN, Jensen L. Testing of the Incontinence Impact Questionnaire (IIQ-7) with men after radical prostatectomy. J Wound Ostomy Continence Nurs. 2000;27:304-12. DOI: https://doi.org/10.1097/00152192-200011000-00003
32. Yokoyama T, Inoue M, Fujita O, et al. Preliminary results of the effect of extracorporeal magnetic stimulation on urinary incontinence after radical prostatectomy: a pilot study. Urol Int. 2005; 74:224-228. DOI: https://doi.org/10.1159/000083553
33. Rowe E, Smith C, Laverick L, et al. A prospective, randomized, placebo controlled, dou-bleblind study of pelvic electromagnetic therapy for the treatment of chronic pelvic pain syndrome with 1 year of follow up. J Urol. 2005; 173:2044-2047. DOI: https://doi.org/10.1097/01.ju.0000158445.68149.38
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