Prevent Inability To Control Urination

Inclusion and exclusion criteria 1. Female 55 through 80 years old 2. Post-menopausal-no menstrual cycle for the past 12 months except for women who are on hormone replacement therapy. 3. Continent of urine (using the MESA definition of continence) defined as: 1. No previous incontinence episode except during pregnancy and/or postpartum period. 2. Urine loss less than 6 days during the last 365 days 3. No previous or present incontinence treatment with pharmacological agents, behavioral programs or surgical therapy. 4. No history of bladder cancer, stroke, multiple sclerosis, parkinsonism, epilepsy, spinal cord tumor or trauma. 5. No reported difficulty with activities of daily living, i.e. walking about the house, dressing, getting in/out of bed, getting to/using the toilet, bathing/showering, or eating. Additional criteria are applied at a physical examination: 1. Mini Mental Status of at least 24 2. Negative for objective urine loss during coughing.