I have 37 year old pouch for UC and colon and rectal cancers. Rather than have butt burn on my skin on outside around the anus, I now have frequent but not all the time burn/itch and feeling of irritation low down Inside the anal canal. Colon/rectal Doc examined me with analscope and concluded it was coming from leakage from a stricture. He offered to dialate me under anesthesia which i declined because I do not seem to have that much trouble emptying my pouch. He agreed with me saying when I have real trouble emptying I will know it and dilation could be put off until such time. My GI who did my last pouchoscopy in early Nov. says I have a stricture at the juncture of the afferent limb and pouch. She recommended placing an axios stent for 3 months dilation but my C/R doc warned of the risks (perforation) of this as long as I am not having much trouble emptying, I should avoid it.
My main concern and question is with my prior cancer history, am I at greater risk for cancer in this rectum/ anal canal area because of the apparent irritation ? I imagine its something like a little ulcer in the area but no doc addressed this concern. I get scoped anually. This discomfort comes and goes depending somewhat on the frequently of BMs and leakage which does vary from day to day. I realize i really dont have much of a rectum left anyway so I think this may be to my advantage cancer wise? I appreciate your imput very much!