07kr5 said...
I don't think I would ever say this, but I kind of regret I didn't have this surgery earlier (and my UC symptoms were fairly small, the main reason I finally had surgery was due to dysplasia findings). I am actually now thinking about whether or not I want to go through with the next steps of creating a j-pouch, since I am terrified of it failing. To me that seems worse than having UC again. I will probably go through with it eventually, since there are certain things I still feel is a bit uncomfortable with the ileostomy, and I think I would always wonder "what if...", but overall it is sooo much better than I expected.
I also wish I had surgery sooner. I lost a lot of time and money struggling with UC... I was in the same boat, wondering if I should actually move forward with the next steps. The reality is, you don't know how it's going to work out for you. in my case, I am very thankful I stuck it out. Also, even if you stay with the ileo, there is still another step to remove the rectum. No matter how you go about
it, you would be looking at one more procedure. I guess you could keep the rectum as long as you want, if it doesn't bother you. Some people get UC symptoms, mine were extremely mild when it wasn't connected - pretty much one trip to the bathroom in the AM and that's all. Some people have symptoms so severe, it's a struggle to get from step 1 to step 2 due to proctitis flaring up. I have a friend who used to post here, embersglow, she was in the process to gt a j-pouch and decided not to have the steps following the ileo. She made it permanent because of the proctitis symptoms she couldn't tolerate, but she saw how easy it was to manage the ileo and saw no reason to move forward. She's done extremely well... The ileo is really the most logical path, it preserves the most of the TI, it guarantees no pouchitis... There are a lot of positives. The negative is having a ileo - which isn't necessarily a bad thing, depends how you feel about
it.