Continence Levatorplasty may enhance restoration of continence (2/3 of patients). Incontinence may also require some type of continence control system (e.g., self-catheterization) be utilized. Less common complications include fistulas, uncomfortable scarring, and problems with urinary continence. The Reformers made abolition of clerical continence and celibacy a key element in their reform. The Protestant Reformation rejected celibate life and sexual continence for preachers. In men, these muscles are responsible for&colon; urinary continence, fecal continence, and ejaculation. Serotonin plays a key role in mechanisms involved in micturition and continence. Some believe the anorectal angle is one of the most important contributors to continence. It is very important for bowel continence, especially for liquid and gas. Oneida's practice of male continence did not lead to impotence. Urology is also included under the auspices of the International Continence Society. Dural ectasia is an example of a spinal cord lesion that may affect continence. It conduces to masturbation, and adds to the difficulties of sexual continence. Once continence to flatus is lost, it is rarely restored.