For me, I have no sensation of the urine leaving my body. However, if it is a heavier void I can sometimes feel a warm and wet sensation between my legs. Unfortunately, I can completely feel when I am having a bowel accident and yes, it still bothers me. I have learned to pay close attention to internal sensations that a BM might be coming, get to a bathroom and wait. This works about 75 percent of the time, but if I miss the signal, I have no muscle control to hold or stop the void once it starts coming out, just full sensation that it is coming out. It is absolutely a reminder of how different my life is, even after a couple years of adjustment. I try not to dwell on it and be thankful that I have full mobility. I try to be thankful that by wearing a diaper I am able to live what appears to be a normal life to others, but internally I am always keenly aware what is between my legs and when I have a bowel accident I feel guilty that I am subjecting those around me to my problem.