I had my j-pouch and rectal stump was removed 14 months ago. I'd rather not have an ileo but feel so much better I wish I'd had it removed 18 months before. This permanent ostomy is light years better than my temp one was between my j-pouch surgeries.
I am off the many expensive medications and can leave the house without worrying. I use our hot tub and have been in my in the ocean. Like eveeything it takes awhile to get use to it but once I found the best appliance to wear the quality of life life has been much better.
I am older at 61 so didn't want to go the BCIR or K pouch route. Bill explains it well.
I do not regret going this route. If you want to read more I suggest you look under the Ostomy forum here.