I have noticed some leakage issues lately which I thought might be due to simmering pouchitis, but I had my annual scope last week and my GI thought the pouch looked pretty good. He told me leakage comes with age due to the anal sphincter weakening over time and with age. I am thinking he is probably right. I have had a J pouch for 30 years - takedown was July 1992. I would say I have leakage now considerably more frequently than I did as a young J Poucher. I guess at this point all I can do is Kegel exercises and perhaps use a male tampon here and there.