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Before you call it quits on your j pouch, I recommend that you get a second opinion from a doctor who has lots of experience with problematic pouches. Cleveland Clinic has an excellent reputation for dealing with difficult j pouch problems. If the decision is to have your pouch removed, you may want to consider the k pouch or closely related BCIR, both of which avoid the need for an external bag and have a high rating of patient satisfaction. I had severe anal irritation coupled with high grade dysplasia and opted for a BCIR which worked out well for me and provided a very good quality of life. Please feel free to PM me with any questions you have.

Bill

BillV

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