My surgeon said it can take up to a year to be 100% with your pouch. Sometimes I have some pressure in my rectum, especially with gas. In the beginning, I didn't know it was gas and I would get nervous and rush to the bathroom. Now I am able to tell the difference. Is yours ever gas? I have had urges but I can always put them off. I know what you mean about
having it come on strong and needing a second, then after that I can wait hours... but I could see waiting a second in a boxing class being awkward. Overall, things have gradually been improving for me since takedown, mine was in November. I think we need to b patient.