My Dr. said it takes a full year to get healed & adapted to the jpouch. Your body changes the way the small intestine works a bit when the colon is gone. But in three months you should be doing most everything. Emptying the jpouch is a bit different than before although you still sit on the toilet. It's more a matter of relaxing the anal muscles to let it out than to actually push. Be patient, it takes a while. I found that going then standing up, bending side to side and front to back , then sittting down again and going again helped. Taking a hot bath would also help me get relaxed to empty better - I did lots of in-and-out-and-in-and-out baths.