I'm 3 months out from my take down surgery. I've had trouble peeing while standing as well. But, I've slowly started trying it, mostly while at home in case of an accident. I try to drink as many fluids as possible during the day. To do this, I need to eat (taking two Imodium beforehand) and then wait about 30 minutes before starting to drink fluids. This was recommended to me by the nutritionist I met with before being released from the hospital after my take down surgery. If I don't wait 30 minutes the fluids run through me and my BMs increase quite a bit.
Anyways, drinking lots of fluids means more peeing. I've been getting the feeling of having to pee without feeling I need to poop too. I'll stand at the urinal as long as it takes for my body to start peeing. Sometimes it happens right away. Sometimes it takes a couple minutes. Either way, I wait. Eventually I'll start peeing. And it feels awesome to pee standing up again.
I don't have the science to back this up, but my thinking is that the surgeries mess with a lot of nerves and muscles around the j-pouch. Your body needs to get used to doing certain things again (pooping, peeing, ejaculating). The nerves and muscles needed to pee need to be taught how to do it again. So far this logic has been working for me. I can't pee standing up all the time, but slowly my body is getting used to it again.
Practice, practice, practice! Stay strong!
- Adam