Ugh, been where you are and am hopeful for you -- but it sounds like you have exhausted this doc as a resource. I've done some of the same routine you mention, had difficulty evacuating followed by prolapse diagnosis (in addition to pouchitis and cuffitis) followed by many meds and physical therapy. Only I've done it for five years now. I swore I'd do anything to stay out of the hospital and home with my husband and kids, but at this point I am so bad off I guess I'm not really "home."
I went down to Cleveland for to get the experts opinion -- which was not to revise, given my set of issues and the likelihood of further surgery. Instead they recommended a permanent ileostomy or k pouch. I am scheduled for the conversion to k pouch and am really thinking things through the next month. Thanks for all your info Richard & Janet -- I've been reading it and appreciate it! Deanna, I hope you can get a second opinion because the doc you are describing sounds like he is at the outer limits of his experience. My best wishes for you to find a fix and not just another revision...let us know how it goes!