My husbands was and still is quite active. Since he drinks so much water/fluids and needs to pee more often now he just empties what is in the pouch at the same time. Yes in the early morning when he wakes us and before eating it is very slow which is the optimum time for him to do the full changes with very little problems.
He probably empties around that same amount of times each day too. Even though he could wait he just figures...."I'm there, might as well empty what is in the pouch" and it keeps it from getting too full.
Wife of 64 yr old male suffered with UC & in May 06 had a severe flare & hospitalized 6 days...various prednisone treatments leading to steroid dependence and osteopenia, 12 asacol, 200 mg Imuran, failed remicade infusions Jan-May 2010 Dependence on pain meds. Made decision 6/10 to have surgery which was on 12/17/10 (total proctocolectomy & ileostomy - unable to have the j-pouch) & now pain free