I had a total colectomy with j-pouch creation and temporary ileostomy in 2011 due to UC. I had two reversals but had to get the ostomy back due to rectovaginal fistulas. I had two surgical repairs for the fistula and both failed. I've been using my ileostomy since 2012 (still with the inner j-pouch). I recently had an MRI and it showed no evidence of the fistula (doesn't mean it's not there or won't come back). Now I'm going to meet with a surgeon to discuss takedown options again. I'm in a new state with new doctors than my original 8 surgeries so maybe they have other options. I'm nervous that if there really is no sign of the fistula and I do go through with the takedown, that the fistula will come back and I'll have to have ANOTHER surgery and ANOTHER ostomy. I'm also nervous to use my j-pouch when it's just been sitting there for 5 years not being used...any thoughts/comments/ideas?