66 years old. J-Pouch from 1989 (history of UC). BPH from 2008 (last measurement 127cc). My pouch has given me all sorts of issues since 2014, which is when the prostate exceeded boundaries and encroached upon the pouch. Accelerated bouts of pouchitis for the past 4 years. After multiple catheterizations during the years as a result of AUR, Oct 2018 I was unable to successfully withdraw use of the indwelling catheter and went immediately for the prostatectomy option. My urologist had never encountered a J-Pouch patient before, but after he researched, he decided that the best alternative for success, both prostatewise and J-Pouchwise was an SPP, simple suprapubic prostatectomy. (No laser, no laparoscopy, no robots, just 10 fingers). The relevant premise is that he approaches the prostate through the abdominal wall and an incision into the bladder. In essence, he doesn't need any approach to the J-Pouch (as long as he is super-careful).
I had the operation 18 Nov 2018. I am recovering at home, and feeling OK. My J-Pouch is back to performing the way it did 15 years ago. Early to draw conclusions, but no regrets.
Happy to answer questions vn17137@gmail.com