I’ve never had a J pouch or Brooke Ileostomy, the K pouch was my original surgery over 42 years ago. I’ve had a few revisions (and would do another if need be). I empty 3-4 times a day and flush the pouch every time. I can be in and out of the bathroom in 5 minutes. There are occasions when it does take longer or there is an extra trip or two, usually if I’m sick or I ate something that I know will require a little more time, but I can typically choose when I want to eat those things and make sure it is convenient for me. Since there are a limited number of surgeons with the qualifications and experience to construct the ouches and valves, there will be travel involved, which can be expensive.