Did the doctors give you any feedback on what is causing the dyssynergy? As I understand it, this term generically refers to any disruption in muscular coordination. From what you have described this would be indicative of a disruption in peristalsis in this case. It seems like a pouch redo is only a feasible option if the dyssynergy can be addressed. If the dyssynergy cannot be addressed or treated with the redo, it would seem like you really only have one option.