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I've posted a bit lately on this. I have been struggling with chronic, often severe pelvic pain for a number of years that was suspected to be endometriosis. I finally had an MRI which was perfectly clear, so endo is the only option since it is "invisible" other than in surgery, and I have responded somewhat to the hormone treatments. I was finally informed today by my gynecologist that surgery is impossible because of my J pouch, and I will have to learn to live with chronic pain. He basically outright refused to do it because it would cause problems with the bowel and be impossible to get it all with all the J pouch scar tissue, so would be a lot of risk for very little value. I am so upset--it's like having colitis again in that your life is taken up by disease. I also don't understand as I thought there were a lot of you on here who have had surgery for endometriosis, or other pelvic surgery, despite your J pouches. If you have any thoughts or experience on this, please let me know.

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Hi Duck,

I've had my j-pouch now for almost 21 years. 11 years ago I had one ovary and Fallopian tube removed with no damage to my j-pouch. That gyn/oncologist also removed a bit of scar tissue at the time. 4 months ago I had a complete hysterectomy due to ovarian cancer. Again, with no damage to my pouch. The chemo has been really hard on my pouch, but the surgery was not. My omentum was also removed during the hysterectomy, as well as scar tissue that was interfering with the surgery. 

So it is possible to have pelvic surgeries without damage to the j-pouch. Maybe you need to find a gynecologist that is recommended by your colo-rectal surgeon. In both instances of my surgeries my colo-rectal surgeon was on stand-by just in case. 

I wish you luck. It's horrible to live in pain so I hope you find a solution. 

C-jay

Hello, Duck11.

Please try not to be upset by your gynecologist refusing to do surgery. Don't be upset, don't be in pain: take action instead. Get a second opinion. Get an appointment with your pouch surgeon and ask for a referral to someone who has done this surgery many times before. Talk with your family doctor. Get a third opinion if you need to, and gather all the information you possibly can before making a decision. Take notes. You can be the CEO of your health. Being pain free is not low value. Ask your pouch surgeon if he has any other patients who have gone through the surgery you are looking at and ask to speak with them. They will be your peer patients -- just like CJB above has done in writing --- and they can share their information and you'll ask from your list of questions. I know you are stressed and upset and frightened because your gyno refuses, but try not to let this first refusal immobilize you into frozen fear. Call and make your appointments to talk with your other doctors and ask for former patients to call and talk. I was diagnosed with cancer because of UC and was frozen for a day or so -- you're allowed to be afraid -- then I got moving and got gathering. Be well, Duck 11.

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