How do they do PT for your sphincter? I had my surgery over a year ago. All was good until about six months ago. I now have a hard time emptying my jpouch unless it’s basically thin liquid-then it comes out fine. I’ve had the defecogram done which showed the jpouch was barely emptying. Had the manometry test done which showed high sphincter pressures and lower pouch pressure. My surgeon said it seems as though my sphincter won’t relax. Also though, ever since my emptying troubles started, I noticed a bulge in my vagina when I push. My surgeon says it’s my jpouch pushing into my vagina, but I saw a urogynecologist and she said it’s a vaginal wall prolapse-the one wall separating my vagina and bladder (I do have lots of bladder probs since surgery, bladder pain like a uti that will spontaneity resolve). This prolapse thing is worrisome to me but everyone is treating it like it’s not a big deal and not part of my problem. Sorry I’m kind of all over the place, I guess my question is- how do they do PT for a tight sphincter they won’t relax?