<![CDATA[Background: Urinary incontinence is characterized by the involuntary leakage of urine resulting from impaired urinary storage function. This condition is commonly associated with pelvic floor muscle weakness, increased urinary frequency, and reduced quality of life that affects daily activities. The combination of Transcutaneous Electrical Nerve Stimulation (TENS) and Kegel exercises is widely used as a conservative physiotherapy intervention to improve pelvic floor muscle function and alleviate urinary incontinence symptoms. Objective: This study aimed to evaluate the clinical outcomes of physiotherapy using Transcutaneous Electrical Nerve Stimulation (TENS) and Kegel exercises on pelvic floor muscle strength, urinary frequency, and urinary incontinence severity in a patient with urinary incontinence. Methods: A patient with urinary incontinence underwent five physiotherapy sessions consisting of Transcutaneous Electrical Nerve Stimulation (TENS) and Kegel exercises, including bridging, pelvic tilt, and kneeling pelvic thrust. Clinical outcomes were evaluated using Manual Muscle Testing (MMT), a bladder diary, and the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF). Results: After five physiotherapy sessions, the strength of the pubococcygeus and iliococcygeus muscles remained at an MMT grade of 3/5, urinary frequency persisted at approximately every 1–2 hours, and the ICIQ-UI SF score remained at 10, indicating moderate urinary incontinence. The absence of clinical improvement may be related to the limited duration of the intervention. Conclusion: Five sessions of physiotherapy consisting of Transcutaneous Electrical Nerve Stimulation (TENS) and Kegel exercises did not result in improvements in pelvic floor muscle strength, urinary frequency, or ICIQ-UI SF scores.]]>
