Double incontinence is  one of the most debilitating and embarrassing forms of incontinence and can severely impact a person’s physical and psychosocial well-being. The incidence of urinary incontinence (UI) has been well described, but the natural history of fecal incontinence is unknown and there are  insufficient  data on its  prevalence.
An online survey was performed to evaluate the prevalence of fecal incontinence in patients interested in urinary incontinence and to assess the impact of fecal and urinary incontinence on quality of life.

A  cross-sectional study was developed. 490 cases were recruited in one week  who responded to an online survey published  on a website based on Functional Urology. 
To obtain the data, a questionnaire based on the validated national version of International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and to assess fecal incontinence alos the national translated version of the Wexner scale. 
The statistical analysis was performed with SPSS 21.0® software. The qualitative variables were expressed by percentages and frequencies, the quantitative variables by means and standard deviation or median and range in case of not presenting normal distribution.

The online survey was published on a website based on Functional Urology, and on social media to enhance the impact. 
The results were obtained from 2,900 sessions initiated on the website dedicated to functional urology by 2,600 different users. 
4,200 impressions through Google ads campaigns, 404 conversions generated through Instagram or Facebook campaigns. 
This means that 4 out of 10 users clicked on our ads to find out how to collaborate in urinary incontinence research. 
The age range that had the most interest in the Google ads campaigns was 45-54 years, followed by 44-64 years. As for gender, they both reacted more or less the same. However, many more women completed questionnaires (90%).
Totally 490 cases were recruited in one week.  
N (89.4%)  were women and n (10.6%)  were men. 
81% presented urinary incontinence (mean age 55 years). 20.61% fecal incontinence (mean age 56.13 years) and DOUBLE INCONTINENCE was found in 18.07% of patients.
In table 1 the prevalence of urinary incontinence, fecal incontinence or double incontinence is reflected. 
Table 2 shows urinary and fecal incontinence patients characteristics. These results were obtained by performing ICIQ-SF and Wexner scale.

18% patients who suffer from urinary incontinence also suffer from anal incontinence, so it would be interesting to include an anamnesis directed to this type of incontinence in the Functional Urology consultations in order to improve the management and
quality of life of these patients.
Another relevant outcomes: 
1.	This patients also loose their quality life: 6,3/10 in a likert scale from 0 to 10 
2.	The number of patients  wearing diaper protection against anal incontinence was more than 17%. 
3.	Fecal incontinence patients recognized that these losses severely affected their quality of life in 30% of patients. 
4.	Finally it was asked to what extent they had previously consulted a doctor about their alterations, finding that only 44% of the total did it.

Using data collection through a virtual survey is useful to know an estimate of the population prevalence of urinary and anal incontinence, as well as its impact on the quality of life of patients. 
One in  five patients who suffer from urinary incontinence also suffer from fecal incontinence, so it would be interesting to include an anamnesis directed to this type of incontinence in the Functional Urology consultations in order to improve the management and quality of life of these patients.