My pouch was done in '93, and I eventually developed fistulas/abscesses. Dr. Shen finally sent me to Dr. Hull, who placed setons. After too many abscesses and other problems, we both agreed the pouch needed to come out. She disconnected it first while things healed, and then removed it a year later. The surgical process went so much better than I anticipated - in fact, I haven't been back to see her (or any other surgeon/GI doc) since then. Her entire team was great.