I also have a very large fibroid pendulated from the outside of my uterus that is compressing my urinary bladder. I have other large fibroids inside my uterus, enlarging it. The ovaries are unable to be visualized, due to the size of the uterus. Sometimes I feel pressure and an uncomfortable feeling in my suprapubic area and have frequent urination and incomplete emptying sensations. I would really like to have a hysterectomy and oorphorectomy. I have had my J-pouch for 19 years and it is great. I rarely have any problems with it. I do not want to endanger my J-pouch by having my uterus and ovaries removed, but would like to protect my urinary bladder as well. I am 64 and am very healthy. All i have going on is osteoporosis. I too have moved away from the colorectal surgeon who made my pouch, but I am willing to travel back to him, if he is not retired yet. I have discussed the fibroids with 2 gynecologists who are reluctant to do the surgery unless a general surgeon or colorectal surgeon is present. I agree with them. I see posts here about concern with the pelvic floor. I have not had any issues with that. I would appreciate any comments and advice. I am in Cape Coral, FL. I can travel if anyone can offer a surgeon who has done hysterectomies with J-pouches present.