Cuffitis can run the gamut from single or rare bouts to continuous trouble. It’s more like UC than pouchitis, and in general is a chronic condition as long as the rectal cuff is present. If you do need to manage it with medication there are likely to be choices that work better (more tolerably) for you than the Flagyl seems to be doing. I’m glad you’re feeling better, and I recommend you redirect your attention from a fantasy about being “cured” to obtaining a reliable diagnosis and a good set of options. Your idea of foregoing the pouchogram was (as I think you know) likely to be a mistake. It’s a nuisance to work out what’s going on, but it’s usually a bigger nuisance not to.