One thing that did help me with leakage, though I have now had my pouch removed, was tincture of opium. That with a cotton ball placed not deep inside but at the exit point and I could at least function most of the time. Ultimately I just couldnt live my life the way I wanted and had an end ileo. My leakage was made even more unpleasant because I had butt burn so even a small amount was pretty miserable and couldnt be ignored.