Your doctor is correct in saying they don’t do k pouches much anymore. Most people now get the j pouch, which became the “gold standard” due to its success rate and maintaining the use of the anal sphincter. The k pouch and BCIR are now used primarily by those whose j pouches don’t provide acceptable results and those who have problems with end ileostomies. If you think that weak sphincter muscles are a factor, your doctor can test their strength with a manometry exam.
My BCIR surgery was done by Dr. Ernest Rehnke in St. Petersburg, FL. He has done thousands of this procedure and I received the best of care from him and the hospital staff. He will be having a free seminar on the BCIR in Manchester, NH on Saturday, August 12. You can get lots of information about the procedure and register for the seminar at www.bcir,com. I usually empty my pouch about 4 times a day at my convenience and have gone up to 12 hours between intubations. I have had no leakage of gas or stool, no skin irritation, and I can eat almost anything I want. Please send me a PM with any questions you have.