Jpouch redo

“A lot of pain” sounds like a good reason to look for a solution. Not all pouch re-do procedures are the same. One question for the surgeon could be whether you are a candidate for a stapled procedure rather than a hand-sewn procedure. The reason replacement pouches are associated with incontinence, etc. is because they are often done as hand-sewn procedures with mucosectomy, in order to address cuffitis problems. It’s the hand-sewn + mucosectomy procedure that has the higher incontinence rate. Assuming that your leak isn’t related to cuffitis you might be able to get the stapled procedure, with the (usually) better outcomes. Good luck!

I had my redo with Remzi and it was hand sewn with mucousectomy.. I do experience very minor leakage sometimes. like just a spot smaller than a dime, I use a small pad tucked up against the hole.. I don't have the best of diets which I am sure doesn't help.. But I also have irritation as well.. I thought it was from the leakage but Dr Shen stated irritation is very common in pouch redos due to the fact that the new pouch is closer to the surface typically...