Recurrent high-grade dysplasia and a malignant polyp in the anal canal made J pouch removal necessary for me. The surgeon who I saw for a second opinion recommended an ileostomy, but this was a procedure that I strongly did not want for its associated issues.
I was fortunate to do my research on options and locate an excellent surgeon in Florida who gave me a BCIR. I have had this procedure for 6 years and have had no problems with it. It (or the closely related K pouch) would be a good option to consider if your efforts to save your J pouch are not successful. I wrote an article entitled “Researching My Options” that appeared in the Spring 2019 issue of The Phoenix magazine (sponsored by the United Ostomy Association of America). This article was posted with their permission on the Quality Life Association’s web page (www.qla-ostomy.org) under the “News” key and might assist you with the decision that you are faced with. This web site also provides additional informational information about the bagless alternatives to the conventional ileostomy.