Both urinary and fecal incontinence can have distressing physical, emotional, and psychosocial consequences, including loss of skin integrity due to persistent wetness or irritation from feces, embarrassment brought on by soiled clothing or odor, and self-imposed social isolation. Nevertheless, only 15% to 20% of patients with urinary incontinence and 43% of those with fecal incontinence seek professional care for the problem.1-3 Instead, they try to cope with the condition on their own, with variable success.