In a patient with intermittent pouchitis who has up to 3 acute pouchitis episodes that respond well to antibiotics, how do you manage leakage of stool, especially at night?

Leakage at night is an expected outcome in a pouch patient. Women who have given birth or older patients who have weaker anal sphincters are susceptible to this. First, make sure they do not have cuffitis or pouchitis. Anorectal manometry will identify this with depressed pressure/tone. A cotton ple...