We have had a horrendous couple weeks. My husband Tom, who has lost his eyesight, was having trouble passing his catheter. He has had his k-pouch 46 years. Went to Vanderbilt twice to the ER and they recommended inserting the catheter and leaving it in place with a bag to let things settle down. Long story short, his pouch was perforated by the catheter. He had flushed it a couple times, and flushed all that mess back into his abdomen. 4 hours later, a rip roaring peritonitis had set in. He begged the surgeon to try to salvaged the pouch, but they were pretty down on the k pouch. As someone stated above, not very good local support. He was pretty near death, (blood pressure was 60/40 several times over the next days post-op) so I am completely thankful that they were able to clean out his abdomen, even if it does mean wearing a bag. Tom is really upset about it though. My advice is head to the Cleveland Clinic at the first sign of trouble