I have had the J Pouch for 20 years and, except for periods of untreated pouchitis, control is better than it ever was when I had UC. Control is as good now as it ever has been, so long as I am on antibiotics. Even in a pouchitis flare, while there is urgency, I still have the ability to control. It's not total loss of continence and massive stools in the pants as I had many times with UC.