This was incredibly helpful! thank you so much for uploading this. I'm going through this surgery in a couple of days due to Colitis and im slightly more terrified of it than when I was getting the bag just because of all the urgencies and almost "colitis flare feeling" all over again. not nice at all to say the least! Im trying to find as much information as I can beforehand and specially how to reduce bowel movements and also control pain.

I can't thank you enough for this outstanding post. I am a gynecologist myself. 65 years and have undergone Total colectomy with removal of rectum, J pouch and diverting ileostomy for adenocarcinoma sigmoid colon developed in a long standing UC. This was done 5 months back. But when I was posted for ileostomy closure my distal loopogram showed a leakage of dye from the anastomotic site at the junction of anal and J pouch. What should be done. I have no symptoms. Should I opt for permanent stoma or can I get my closure of ileostomy after 3 months ( as advised by my surgeon). I

Sir I have total protocolectomy 18/04/23 but 2.5 cm rectum remaining and now bleeding and mucus are discharging still now which is very painful, what to do ? Should I remove the remaining rectum or take any medicine?

Extremely nice info i am going to surgery in one month.. Thank you

Sir my father underwent a surgery yesterday where they joined the ileum to rectum head to head. Earlier they were discussing of doing j pouch. My question is shall we still expect the same results?? Like 5-6 bowel movements per day or it will be more. Also suggest how much poop will be holded there as the rectum inside diameter must have been equal to that of ileum in order to join head to head. His rectum was all good. Also we could have opted a j pouch and sewd that to rectum in order to hold more poop and better quality of life??

Total colectomy in UC is almost curative though at a significant cost related to a major complex procedure ie IPAA and its related issues ie acute as well as chronic. Sometimes ( 10-15% ) the pouch complications affect the quality of life so adversely as to demand a permanent-stoma by the patient.

Excellent information, thanks.

I had this surgery in 1986 when I turned 21

Excellent talk

Help, I have no gas release. Gas pain is off the charts.

Thank you very much for the video. Excuse me. I have a question. My child, one year and two months old, had previously had an abdominal fasciotomy. The doctor told me that she suffers from paralysis of the entire colon. Can this operation be performed at any age? Because in my country they told me that I have to travel with it outside the country in order to tie the intestines to the anus. Please answer me.

Any indication for a pouch in Crhon’s colitis??

Why don't the surgeons/gastrenterologists make us sit down and watch this video. I wish I had of known all of this before it happenend to me.

2:18 What, no anal sex? I’m a heterosexual man and have had a pouch for 35 years. For the last 10 years I have had to regularly self dilate the anastomoses with a tapered plastic device with a diameter of less than an inch, and this is quite enough.