I completely know the feelings that occur when you find that your J pouch has reached the end of the line. I had mine for 30 years and removal became necessary when I had recurrent high grade dysplasia and a malignant polyp in the anal canal. At that time, I was still of the mindset that I wanted an alternative to an end ileostomy, just as I did when I first decided to get a J pouch.
I updated my knowledge on the K pouch and learned about a modification of it called the BCIR. I read about the complications that some people experience with these procedures, including the 6-10% that the procedure would fail and I would need an ileostomy. Considering my lifestyle and feelings about the decision I was faced with, I accepted the risks and decided to have the BCIR. The surgery was difficult, particularly the removal of my J pouch, but everything turned out fine. I am now able to do all the physical activities I enjoy, eat almost any food and not have to worry about leakage, skin irritation or “accidents”. Most of the time, I am completely unaware of my procedure. Although my results with a BCIR have been excellent, I know that many people have had good results with their ileostomies and believe they made the choice that was best for them. Best of luck with your upcoming surgery.
Bill