I'm so glad I found this post. I've been told I have a bladder prolapse and a level 1 uterine prolapse. Plus my uterus is retroflexed. Did either of your vaginal prolapsed cause you to have a hard time emptying your J pouch? I got my J pouch 18 months ago and I feel like I've been straining to empty ever since. I've been dilated for times and it didn't even feel like it helped the last time. Then I got an infection after that. So I haven't gone back in to get dilated. I sure would like to know what's causing this issue with not being able to empty my pouch very easily. My doctor has also suggested Physical Therapy but I haven't started yet.