Hi SJAN810. I started with a one step procedure. After one week I developed a leak and had to have emergency surgery . At that time I had the leak repaired and had a temporary ileostomy. I had the temp for four months (no ostomy issues) while everything settled down, then had the take down surgery. I was miserable for the next 12 years with my j-pouch. I met a colorectal surgeon at U.C. Irvine Medical Center who I felt comfortable with, and he did the surgery a year and a half ago. The second stoma is in a different location than the first. I've felt great since. There shouldn't be any reason for issues with leaking. Leaking issues can be addressed by a stoma nurse. I change my bag every three days and it takes about 5 minutes. I love mine.
Discuss your concerns with your doctor and see what he or she says. Also, if there is an ostomy support group in your area, you might want to visit and discuss your concerns there. Good luck.