One of the things that was claimed in the Sascha Riley tapes was that, when Riley was sexually assaulted by trump as a child, he kicked something (I think he said a broomstick or something) way up Trump’s ass, causing him to be airlifted off Epstein Island. This is completely unverified, of course, but it makes amazing head canon as an explanation for his incontinence. It’s also a great villain origin story.