Straight connection to rectum or j pouch?? Which has a better outcome?

My  10 yr old son is awaiting ileostomy reversal. His primary surgeon who did his ileostomy says it will be better to do a pull through procedure, to straight connect the small bowel to his rectum and no need for jpouch.  Children will adapt better as they grow, he says. I'm not sure, because no pouch may mean nothing to hold the output, so he may have to be next to the rest room all day??

 

Please advice. Any one with experience having a straight connection? How to manage incontinence? Does it get better with time? 

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