The habit of partially squatting while urinating is unlikely to be the main cause of your current symptoms. After multiple surgeries, the pelvic floor muscles can sometimes remain tight or have difficulty relaxing properly. Your symptoms are complex, so they should be assessed rather than assuming that your urination posture caused the problem.
Next Steps
Please discuss your ongoing symptoms, weight loss and weakness with your treating colorectal surgeon/physician before considering another surgery. A pelvic-floor physiotherapist can assess muscle relaxation, breathing and toileting mechanics and, if appropriate, start a gradual relaxation-focused rehabilitation program. You can also connect with me for an online physiotherapy consultation for an initial assessment and guidance.
Health Tips
Avoid forceful straining during bowel movements and avoid repeatedly trying to “push” the pelvic floor open. Practice relaxed diaphragmatic breathing and give yourself enough time in the bathroom without rushing. Since Cremaffin Plus is causing frequent diarrhoea and cramps, discuss the dose or an alternative with your treating doctor rather than changing it yourself.