Thank you, Scott. I appreciate your help anytime I post.
My surgeon said the reason I struggle to pass stool is because I have a stricture where the pouch is attached. According to her, the narrowing makes it so stool won't pass. She says that where my stricture is, it would not be possible to put in a stent as it is in a place that people cannot tolerate. I was too shocked to ask about dilation, but I think that would be pretty painful too. The strange thing about this is that I knew I had a narrowing going on, but it comes and goes. She said strictures don't usually do that. Right now, it does not seem too bad, but I have had this strange disassociation thing going on where I just feel, not numb, but out-of-contact with my guts. That is not the best explanation, but I cannot think of any other way to say it.
I have thought about the muscle thing. It makes sense that if I use enemas too much the muscles will atrophy. I am going to search pouch prolapse to see what I can find.