Objective To investigate the clinical effect of pelvic floor biofeedback electrical stimulation in the treatment of urinary incontinence in patients with ischemic stroke.Methods A total of 80 patients with urinary incontinence as the clinical symptom of ischemic stroke were randomly divided into treatment group and control group. The patients in the treatment group were given standard nursing intervention combined with pelvic floor biofeedback electrical stimulation, and those in the control group were given standard nursing intervention alone. Bedside ultrasound was performed before treatment and after 4 weeks of treatment to measure residual urine volume, and the bother of score (BS) and lower urinary tract symptoms (LUTS) score were also determined.Results Both groups had improvements in symptoms after treatment, while compared with the control group, the treatment group had a significant reduction in residual urine volume and significant improvements in BS and LUTS score (P<0.05).Conclusions Pelvic floor biofeedback electrical stimulation can improve the symptoms of urinary incontinence in patients with ischemic stroke and improve their quality of life.