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What is not being said is that his primary difficulty/symptom is severe problems with pouch emptying. He is unable to empty normally on the toilet. I think this is all kinds of wrong, and he is only 7 months post take-down, so still under the care of his surgeon.

The sinus may be causing pain, irritation, etc., but this other thing sounds like an outlet obstruction. He's had multiple scopes, all looking good. Only one hospital in hs area does defacograms and the wait is 8 months.

So, quite a pickle, to say the least. Those of you savvy with the Canadian Health System, please help here in regard to what he should do.

Excuse me for jumping in on your thread, but I think folks need to know the story, in order to help.

Jan Smiler
Jan Dollar
Jan just got results from MRI :
FINDINGS:
There is a small amount of fluid adjacent to the j pouch. This is an abnormal finding and is in keeping with a small amount of ascites. There does not appear to be clear loculation to suggest abcess formation. There is a small amount of presacral edema noted as well. The study demonstrates a linear fluid filled blind ending tract arising from the proximal aspect of the anal canal near the junction with the j pouch. This sinus tract measures 1.2cm in length and 2mm in thickness. The walls demonstrate enhancement. It approaches the prostate but does not involve it. No additional sinus or fistulous tracts are identified. No significant lymphadenopathy is identified.
IMPRESSION:
Presence of a sinus tract at the one o'clock position at the level of the proximal anal near the junction with a j pouch.
Presence of a small amount of ascites but no evidence of loculation to suggest abscess formation.

Jan please tell me what you would do in my position. Thank you so much)))
B

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