The only way I can describe this is simply that the anus entrance is enlarged and the muscle feels weak. There seems to be very little tightening ability as if the muscle has atrophied. I have had my J pouch for 2 1/2 years. I have had chronic itchy fissures and, of course, the usual burning that most of us complain of. Of late, I have had some fecal incontinence on occasion at night and, more disturbing, light fecal incontinence in the day. I have tried Kegel exercises, but I feel I can't even squeeze tightly. I am a good weight and am fit for my 64 years. I just feel that things are worsening. Had a pouchoscopy two weeks ago and the surgeon said the pouch looked fine but didn't comment about the anus. To top it off, my tailbone and down the left inner buttock is painful. Does anyone have this combination of issues?