LWB,
I didn’t have radiation but I did have 21 weeks of chemotherapy for ovarian cancer. It was BRUTAL on my pouch. I thought for sure I’d have to get it removed. The pain was unbearable at times. Actually most of the time. But I made it through, took lots of antibiotics during the chemo to help with the pouchitis and when chemo was done, it took about a few months to settle down, and for some reason now my pouch is better than ever.
All of journeys are different, but I hope this gives you hope.
C-jay