Continence is the control of bowel and bladder movements. A patient of toilet training age should be able hold their urine or bowel movement until they are able to empty their bowel or bladder in a bathroom. Some children do not get toilet trained. They continue to soil their undergarments. They may continue to bed wet well into their preteens and occasionally their teens. Children with abnormalities of the bowel or bladder at birth may not be able attain toilet training and they may need help in doing so. As pediatric surgeons and urologist we evaluate children for underlying problems and offer solutions to achieve dryness through either behavior therapy, medical or surgical treatment