For the 4 years that I put up with my severe ulcerative colitis I never had leakage; since the first of my three surgeries for my J pouch, I've had constant leakage, not a lot but enough to constantly irritate things and cause me to either stuff a pad up my butt or wear a pad in my underwear. So what exactly has changed anatomically speaking? My surgeon was quite pleased with the strength of my sphincter muscles prior to surgery; I worked hard to keep them strong for 59 years . Just because I didn't use them for five months while I had my bag all that went down the drain? What gives?