Abstract

Urinary incontinence is occasionally seen in men after prostatectomy. This may be due to sphincter weakness or due to detrusor overactivity or neurogenic causes. Pelvic Floor Muscle Therapy (PFMT) with biofeedback is non-invasive initial management for this condition. Here we present a 71-year-old patient with lower urinary tract symptoms (LUTS) of frequency, urgency, urge incontinence and nocturia. This may be due to sphincter weakness or due to detrusor overactivity or neurogenic causes. This patient had a possible neurological cause of bladder dysfunction (cervical spondylotic myelopathy) along with urethral stricture and bladder neck obstruction. Severe stress and urge incontinence had developed post operatively. The intervention using pelvic floor muscles training, electrical stimulation and biofeedback therapy was successful. Biofeedback generates consciousness about muscle activity, and helps maximizing the muscle contractions in the pelvic floor region while avoiding other muscle groups' contractions.