A 55-year-old woman presents reporting two years of bothersome episodes of leaking urine. The episodes of incontinence have become more frequent over that time and now occur daily. The urine loss is provoked by laughing, coughing, and standing from a sitting position. The symptoms are significant enough to require the regular use of sanitary pads. The embarrassment associated with these episodes has caused the patient to limit her normal physical and social activities in recent months. She denies symptoms of urgency or frequency associated with the incontinence episodes, and she denies hematuria, dysuria, or nocturia. She has no other gynecologic complaints. Obstetric history is significant for three term spontaneous vaginal deliveries without complications. She has no past medical or surgical history. She is not taking any medications and has no known drug allergies.