I had my surgeries at Mayo Clinic Rochester as well, back in 2007.  Starting out was a bit sad for me not having a normal system anymore.  Honestly I miss being able to fart on a whim almost as much as I miss going to the bathroom once a day.  It takes time for your body to reconfigure itself, but he patient.   It does get better.   Your bottom will get sore more often than it used to, so I'd suggest getting some good ointment.   I use Calmoseptine which was recommended to me through another J-pouch support forum.  On the bad days, I use a little lidocaine ointment and Calmoseptine together.   Best advice I can give - CHEW your food GOOD and avoid spicy stuff for a few months.

Had my surgeries at the Mayo clinic in 1993. My advise is to lose your modesty and have a talk with your docs at the mayo about various self dialation procedures which you will need to use over time. Some sooner than later. Butt-burn will be an issue. A number of various products discussed in these forums are good...I just happen to like Vicks vapo rub...no healing qualities but, feels great when your poor butt is on fire.. good luck to you and try and stay up beat as it is better than wearing an external bag...

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