This case report highlights an unusual presentation of post-cesarean complications in a patient who developed both nocturnal urinary incontinence and menuria following a lower segment cesarean section. While urinary symptoms after cesarean sections are not uncommon, the co-occurrence of nocturnal incontinence and menuria represents a rare and challenging clinical scenario. We describe the clinical course, diagnostic evaluation, and management of this case, shedding light on the potential underlying mechanisms and emphasizing the importance of a comprehensive approach to post-cesarean care.