Objective: This report presents a spinal adjustment approach to treat elderly patients with urinary incontinence. Methods: This retrospective case series reports the clinical observation of 13 patients with urinary incontinence. They were treated for 1-8 weeks with Pro-Adjuster technique without any other additional drug and physical therapy treatment. The primary outcome measure for this analysis was the frequency of nocturia reported by the patients during each office visit to the chiropractor. Bladder control was reported by the patients as frequency of nocturia or the urgency of urination or instances of leakage, and the number of pad changes per day or a return of the sense of urinary urge. Results: A total of 13 patients' data (6 female, mean ages 65.7 +/- 12.9 years) were included in the study. After 1-8 weeks of chiropractic adjustments, the urinary frequency at night was significantly reduced from 3.8 to 1.2 time a night (P < 0.001). Three patients improved bladder control with only 2 adjustments. Conclusion: The Pro-adjuster treatment program seemed to reduce nocturia in patients with urinary incontinence.