Efficacy of Surface Electrical Stimulation for Urge Urinary Incontinence in Women

Inclusion Criteria: * Predominant urge urinary incontinence as determined by responses to a series of three standard questions from the King's Health Questionnaire; specifically: * An affirmative response to "Is it very difficult to control when you have a strong urge to urinate?", * An affirmative or negative response to "Do you lose urine with physical activities such as coughing, sneezing, running?", * And, if an affirmative response to the second question, an affirmative response to "Are more of your incontinence episodes due to a strong urge to urinate than to abdominal pressure such as sneezing?" * Mild-moderate incontinence symptoms as determined by self-reported typical number of accidents of 1 or more per 24 hours. Symptom severity is later verified with data from the Daily Log (See 5.4) Exclusion Criteria: * Less than 1 incontinence accident (leak) per day\* * Severe incontinence as determined by self-reported \>5 accidents per day * Currently pregnant, may be pregnant, attempting to become pregnant, or delivery within previous 6 weeks * Vaginal or pelvic surgery within previous 6 months * Severe Obesity as defined by BMI \>= 35 * Change in incontinence medication type or dosing within the last 3 months. * History or symptoms of urinary retention, extra-urethral incontinence, overflow incontinence * Pelvic pain/painful bladder syndrome * Active urinary tract infection (UTI) or history of recurrent UTIs (more than three in a year), or recurrent vaginitis (bacterial/fungal) * Tissues protruding outside the vagina at rest * Presence of incontinence-associated dermatitis or other perineal skin disorders or lesions, * Complete denervation of the pelvic floor * Conductive inter-uterine devise (IUD/Coil) or metal implants in the abdominal or pelvic area, including the hip and lumbar spine, * Chronic coughing * Previous use of Interstim device or Botox for UI * Implanted cardiac device, untreated cardiac arrhythmia or suffer from other heart problems. * Cancer, epilepsy or cognitive dysfunction * Underlying neurologic/neuromuscular disorder * Impaired decision making, suicidal thoughts, or drug/alcohol dependence * Lacks capacity to consent for themselves.