TReating Incontinence for Underlying Mental and Physical Health

This study is testing medications to treat urgency urinary incontinence (the sudden, strong urge to urinate that leads to leaking) in older women, while also examining whether treatment improves mental health and thinking. It is open to women 60 and older. You may be eligible if... - You are a woman aged 60 or older (female sex at birth, without gender reassignment surgery or hormones) - You can walk to the bathroom and use the toilet without help - You have had urinary incontinence for at least 3 months - At least half of your leaks happen with a sudden strong urge - You have 2 or more urgency incontinence episodes per week You may NOT be eligible if... - You have been diagnosed with dementia, or you scored 17 or lower on a cognitive screening test - You currently use or recently used medications specifically for urgency incontinence - You have recently started, stopped, or changed dosages of dementia medications or other drugs that affect urination - You have a current urinary tract infection - You have a known allergy to either study medication - You have severe liver or kidney impairment - You have bladder obstruction or significant urinary retention - You have uncontrolled high blood pressure (above 180/110) - You have gastric retention, narrow-angle glaucoma, myasthenia gravis, severe ulcerative colitis, or toxic megacolon - You cannot complete questionnaires or interviews in English Talk to your doctor to see if this trial is right for you.