Inclusion Criteria:  Forty obese postmenopausal women suffer from mild to moderate stress urinary incontinence Their age ranges from 50-65 years old The body mass index (BMI) ≥ 30 ≤ 40 Kg/m2.  Exclusion Criteria:  neuromuscular disorders Lumbar disc prolapse Gynaecological disorders Pacemakers Tumors Dermatological conditions Patient who take anticoagulant agents.