Pelvic Floor Muscle Training With Leva System for Urge Incontinence

Inclusion Criteria: * Age 18-85 years old * Urinary incontinence for ≥ 3 months * Reporting at least "moderate bother" on Item 2 on the UDI-6, "Do you experience urine leakage in related to the feeling of urgency" (on new patient paperwork) * If mixed urinary incontinence, Medical Epidemiologic Social Aspect of Aging Urinary Incontinence Questionnaire (MESA) score indicating urge-predominant MUI (Urge subscale % \> Stress subscale %) * Presence of ≥ 1 UUI episode on 3-d bladder diary (see Appendix 2) * Is the baseline bladder diary consistent with the patient's typical habits? * Not currently taking anti-muscarinic or beta3 agonist therapy (after at least 2 week wash-out period) * Brink Score \> 3 (see below) * Access to smartphone technology, including iOS or Android™ Exclusion Criteria: * Non-English speakers * Severely impaired mobility or cognition * Spinal cord injury or advanced/severe neurologic condition including Multiple Sclerosis, Parkinson's Disease * Concomitant prolapse beyond the hymen or repair of prolapse in the previous 6 months * Received intravesical botulinum injection within the previous 12 months * History of implanted nerve stimulator for incontinence * History of prior sling or vaginal mesh placement * Previous diagnosis of Interstitial cystitis * Active pelvic organ malignancy * History of pelvic radiation * Urethral obstruction * Urinary retention or prolonged catheter use * Less than 12 months post-partum are currently pregnant, or plan to become pregnant in the following 12 months * Untreated symptomatic urinary tract infection * Unevaluated hematuria * Medical instability * Not available for follow-up in 6 months * Participation in other research trials that could influence results of this study