I was diagnosed with UC in the summer of '04. By fall I had my colon taken out and had an end ileostomy created on my lower right abdomen. Then after a year I had a one stage j-pouch created and the ileostomy taken down and I was all hooked up by fall '05. Little over a year from being told I had UC to having a functional j-pouch!
Since my j-pouch surgery I have run into a few problems. I got really sick 2 years after my j-pouch surgery, hospitalized with Hemolytic Anemia, an auto immune disease of the spleen. They treated it fast, and it has never come back, which I'm very happy about.
I had an inguinal hernia on my lower left abdomen, and a perianal fistula that was draining into my j-pouch. I saw my surgeon who repaired the hernia with mesh, as well as performed a fistulotomy in one surgery which was kinda awesome (except it hurt in the front and in the back, worth it though in one go). Since then my hernia site is as strong as can be, and I haven't since then had any perianal fistulas come back or develop.
I just had a bad fight with pouchitis for months, which ended me up in the hospital last week, down to 117lbs from 150lbs. CT scan showed my UC might actually be Crohn's, but that wasn't for sure. I'm on 40mg of prednisone to be tapered down each week, as well as cipro and flagyl for two weeks to get rid of any infection. I think throwing up for a week was my body saying my insides needed to rest, cause now I feel better than I have in years.
If you had very toxic UC, then the small amount of colon that connects the pouch to the anal muscles can sometimes become inflamed, just like UC. It's called cuffitis and is treated much like UC with steroid suppositories. You will probably develop pouchitis at some point, though that's a bacterial infection but causes UC like symptoms like diarrhea, inflammation.
I'm starting to take a probiotic for the first time after this last course of antibiotics. Hopefully I'll see some benefits in my digestive track health. Just take it slow and find out what works for you diet wise. Hopefully you don't need to take anything and enjoy your pouch for a long time.