The Urinary Incontinence Treatment Study

Inclusion Criteria: * Women, age 70 years or older * Diagnosis of Urinary Incontinence (defined by the QUID assessment as having subscale score for stress ≥4, and/or urge score ≥ 6) * Willing and able to be compliant with pelvic floor muscle exercise intervention (standard of care) for 12 weeks and to log compliance * Willing and able to undergo an extensive physical function evaluation Exclusion Criteria: * Prior surgical intervention for urinary incontinence within the past 12 months * Hysterectomy within 12 months * Diagnosis of: * Pelvic Organ Prolapse beyond the hymenal ring * Urogenital Fistula * Neurogenic Overactive Bladder (associated with a diagnosis of Multiple -Sclerosis or Stroke within past 12 months) * Incomplete Bladder Emptying/Urinary Retention with PVR \>150 ml (measured by bladder scan) * Requires assisted device (4 point cane, walker) for ambulation all /most of the time or wheelchair bound * Having significant cognitive impairment or dementia * Unsafe to exercise (severe cardiopulmonary disease) * Unable/unwilling to provide informed consent * Determined otherwise ineligible by the principal investigator