I developed 2 fistulas after my jpouch as well (years later), along with abscesses. I ended up having my pouch removed and going to a bag. The original dx. was UC, but the surgeon I switched to believed it developed (?) into perianal Crohn's. My doctors never recommended remicade or the like, but looking back, I wish they had and I had given it a try, at least. That being said, I'm doing very well with the bag. Fistulas are currently gone, fingers crossed they stay gone, but apparently there's no guarantee. It's so difficult to have one thing after another happening to you - I hope you and your doctor's can find a plan that works for you.