Background: The literature regarding lower urinary tract symptoms (LUTS) in the transgender and non-binary population is scarce. There are emerging data surrounding the impact of hormonal, surgical, and behavioral factors for this population; however, direct impact on pelvic floor function is still lacking. Case Description: This case report describes a 39-year-old transgender man referred to pelvic health rehabilitation for urinary urgency and urge urinary incontinence (UUI), which were limiting participation in occupational activities. The plan of care utilized a multimodal treatment approach, incorporating behavioral techniques, manual therapy, therapeutic exercise, and neuromodulation via sacral transcutaneous electrical nerve stimulation to improve functional outcomes. Outcomes: Clinically significant improvement on the National Institutes of Health Chronic Prostatitis Severity Index score from 13 to 3, reduction in urinary urgency from daily to weekly, and reduction in UUI from weekly to none were reported upon discharge. Functional outcomes included return to prior level of occupational participation. Discussion: This case report represents a successful course of pelvic health rehabilitation for LUTS in a transgender man. This case aims to begin bridging the significant gap in the literature regarding treatment of LUTS among transgender men with hormonal and post-operative considerations.
Stiffler et al. (Mon,) studied this question.