I had colonic inertia and tried everything under the sun (medications, physiotherapy, acupuncture, cecostomy tube) until I ended up in the hospital because my colon just quit.  I had an emergency colectomy and ileostomy.  Wow, what a difference for the positive.  No more pain, no enemas, no golytely daily.  I had my life back. About a year and a half after that my surgeon gave me my j pouch and reversed the Ostomy.  I am still happy with the results and my sphincters work well.  I have been plagued with peri-anal abscesses and fistulae as well as the occasional bowel obstruction but still manage to work full-time as a critical care RN, travel, and play in a pipe band.  Good luck on your journey wherever it may lead you.

Thanks so much for sharing, I have been preparing myself for the news of getting a ostomy. Is it possible it could be temporary and I eventually get pouch back or would it more than likely be permanent?

That would be a question only your surgeon could answer.  The Ostomy would give your muscles a chance to rest but I don't know whether the rest could restore them to fully functioning which you would need if you wanted a reversal back to your j-pouch without incontinence.

Thanks so so much 

You should ask your surgeon if he thinks that exercises (like Kegel exercises) could possibly strengthen your sphincter muscles sufficiently to support a J pouch.  If not and an ileostomy is recommended, you may want to consider two options that do not require having an external bag: the K pouch and the BCIR.

Thanks Bill I will be following up with him when he receives the results from manometry. I will also read up on the 2 you mentioned