I have not seen a GI or a Colorectal surgeon since 2013. The only thing I do to keep my pouch going (as well as can be expected), is to take 1 probiotic (from Costco) per day.
My pouch is now 5 years old and I probably use the bathroom about 4 times a day. About once a year, I might have a slight accident while sleeping.. and I never get up at night.