〔Abstract〕 Objective To explore the clinical effect of acupuncture combined with neuromuscular electrical stimulation of bladder in the treatment of urinary incontinence after stroke. Methods 74 patients with urinary incontinence after stroke admitted to Luoyang Yiluo Hospital from March 2021 to December 2022 were randomly divided into a control group and an observation group, 37 cases in each group.The control group received neuromuscular electrical stimulation of the bladder area, and the observation group received acupuncture combined with neuromuscular electrical stimulation of the bladder area. The clinical efficacy, pelvic floor muscle contraction amplitude, urinary incontinence severity and quality of life of the two groups were compared before and after treatment. Results The total effective rate of the observation group was 97.30 %, higher than 78.38 % of the control group, the difference was statistically significant (P < 0.05). After treatment, the amplitudes of slow muscle fiber and comprehensive fiber in the observation group were higher than those in the control group, the differences were statistically significant (P < 0.05). After treatment, the score of the international urinary incontinence advisory committee urinary incontinence questionnaire (ICI-Q-SF) in the observation group was lower than that in the control group, and the score of the urinary incontinence life quality questionnaire (I-QOL) was higher than that in the control group, with statistical significance (P < 0.05). Conclusion Acupuncture combined with bladder neuromuscular electrical stimulation can significantly improve the strength, endurance and coordination of pelvic floor muscles, improve the degree of urinary incontinence and improve the quality of daily life in patients with urinary incontinence after stroke.