At-Home Transcutaneous Tibial Nerve Stimulation for Overactive Bladder in Rural Women

Inclusion Criteria: * Rural residence (as defined by the Federal Office of Rural Health policy confirmed with the "Am I rural?" tool) * Clinical diagnosis of overactive bladder (OAB) with urinary frequency \>= 8 times per day * Able to complete questionnaires, urination diaries, and interview in English or Spanish * Have reliable access to a telephone or email for communication * Ambulatory and able to use the toilet independently Exclusion Criteria: * Unable to consent * Pregnancy or planning to become pregnant during the study period * Previous treatment for OAB including medication, intravesical botox, and/or neuromodulation use * Presence of pacemaker or implantable defibrillator * Indwelling metal in both ankles * Presence of leg ulcers, open wounds, or skin conditions affecting lower legs * Absence of sensation in the lower legs * Active urinary tract infection * Predominantly stress urinary incontinence * Active malignancy * Neurogenic bladder * Subjective complaint of pelvic organ prolapse outside of vaginal introitus * Subjective symptoms of incomplete bladder emptying * Epilepsy * Peripheral artery disease affecting both legs