Hi Betsy, I am considering a surgical repair (vaginally) and was told due to IBD (my J-pouch is 16 years old) there is only a 60% chance of success. Did your symptoms worsen after the failed surgery? I'm handling my RVF but am concerned that it will become more problematic as I age. Of course, I really don't want to make things worse. Any advice is appreciated. Thank you.