I’ve had an ileostomy for two years, a K-Pouch for over thirty years until valve failed and since 2010 the BCIR. The external pouch was a nightmare. The K-Pouch was great as is the BCIR. The BCIR has a smaller stoma which I like. Unfortunately I’ve been having scar tissue issues that have been causing terrible pain. I had hysterectomy about two years after the BCIR surgery which my BCIR surgeon assisted in to make sure my pouch was not damaged. He is the most genuinely caring person I’ve ever known. My husband comes in a close second.