A Study of Transcutaneous Electrical Nerve Stimulation for Overactive Bladder

Inclusion Criteria: * Patients who are clinically diagnosed with urge incontinence, defined as urinary leakage associated with a sudden, strong desire to pass urine that is difficult to defer. * Patients with urge predominant mixed incontinence. * Patients will need to have answered at "Yes" to "leakage related to feeling urgency" on the UDI 6 questionnaire. * Female * Over 18 years of age. * English speaking who are able to give informed consent to participate in the study. * Patients who have four urinary incontinence episodes. Exclusion Criteria: * Stress incontinence desiring surgical management. * Previous treatment of refractory urge incontinence such as PTNS, SNS, or Intradetrusor onabotulinumtoxin A injections. * Neurological conditions affecting continence such as multiple sclerosis, a history of spinal shock within the past year, or neurologic impairment requiring a wheelchair. * Urethral diverticulum. * Daily catheterization due to urinary retention. * The use of anticholinergic medications for less than 6 weeks. * Patients who have pacemakers in place. * Patients with limited mobility requiring a wheelchair. * Elevated PVR \> 200 cc * Untreated urinary tract infection, defined as symptoms and a urine culture with greater than 100,000 cfu/ ml within the last 1 month prior to treatment. * Uncorrected Stage 3 prolapse.