You're going to be just fine with you first pouchoscopy! It is very similar to a colonoscopy, without as bad as prep work. Afterwards, your body may take a little bit to readjust after the light prep and fasting in preparation for the scope, but I've never had any issues with urgency to go days following as a result of the actual procedure or from the biopsies. Once I start eating again, things go back to normal fairly quickly. My pouch turns thirteen this year and I've been blessed with a lot of pouchoscopies and a lot of biopsies over the years. I dislike preparing for the scopes, but afterward things go back to normal and I know what is actually occurring with my pouch.