For the most part, I usually don't worry about standing up to urinate, as I'm usually emptying the pouch enough to keep the 'ole bladder happy. There are times, especially after copious amounts of water that I have to do one, but not the other, or in a location that's not really conducive to emptying the pouch. Mornings are usually easier to stand as the pouch is empty and doesn't require the muscle control to keep from leaking.

Are there any tips/tricks more experienced pouchers have utilized to try separating the two? I'm only two months post-takedown and coming off a bad case of pouchitis, so less movements have just really started within the past few weeks.

Thanks!

I really don't know how to explain this, but I quickly learned to squeeze my butt cheeks together (like I'm trying to hold poop in) but relax everything else that is involved with urinating. Once you figure out how to do this you should be fine.

Guys,
I just had operation #2 one week ago and have noticed that I have the bm feeling often (nothing is attached but mucus comes thru) and I also seem to feel bladder pressure when I really don't have much to pee. Did any of you experice this and is it due to the fact that I've only just had the operation? Take down in May

Nim,

Had the same symptoms post surgical but they passed. Three years out and urinating from a standing position still seems to trigger an occassional bowel contraction. Don't know why, I would assume cut nerves from the colon may have regenerated from a similar axon from the bladder. Regardless, if that's your only problem then I am terribly jealous.

barry

Barry,
My initial symptoms passed as you experienced. Pretty normal now but still go a bit more often but there is at least some pee there now! I'm just getting nervous now about the early stages of post take down. For all the inconveniences of the ostomy bag the thought of accidents and very frequent bm spooks me. I guess I have to really watch my diet then!

Yes after my second op for pouch formation, I get the urge for BM but only get clear liquid and each time I go for a pee I have to sit down as I feel like BM. cant wait for takedown
Martin

Stand up pees are only occasional for me. A few times a week.

A lot of these will prompt my ab muscles to relax so that they lead to a post-pee bm immediately.

Take down done May 19th and everything is going pretty darn well. The huge hole I had from the open wound heal is totally closed and thanks to Dermamed gel it is smoothing out and getting lighter. Just about one month ago I stopped getting butt burn on a pretty frequent basis. Calmoseptine helped but the burn usually felt like it was just inside and not on the outside like usual burn. Anyway, have not had any burn for one month. Just happened. Pee hold is getting better now, up only one or two times per night, and only had one emergency "had to go" scenario in almost 3 months. My diet is normal meaning I don't do anything unusual except for I try not to eat too late and have a bran cereal around. I take two immodium prior to each meal and that helps quite a bit.
I do notice that when gas passes whilst on the seat it's a LOT louder than before!! I'm supposing that because the pouch is right down there it's almost like a balloon full of gas that just blows out! HA.
Hope everyone else is doing ok and it will be a while again for me on this post as all is going well.
Best, Rob

I know this is late but why not. After a few years, standing and urinating will be back with no problems! It took a while, and i wondered if i would ever be able to do it but now it is just second nature again

I hardly ever bother standing up to urinate. My medical team told me it would be perfectly possible but not really worth the bother, and I pass so little water it hardly seems worthwhile :-)