Thanks for the update! I am also still in the same boat. My fistula is now about 8 years old and nothing has changed. For some reason I get more leakage now and if I am holding my poop, I can sometimes feel a small gush come through the fistula to my vagina. But very small amount of output, so it's gross but still very manageable.
What can we do but stay positive, and hope the pouch keeps working despite the extra holes and tunnels we have developed?
I find it so comforting just go know that I am not the only one living like this.
Thanks to all of the fistula girls.