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At the end of August, I had the first surgery done where they made the Jpouch w/ temp ileostomy. Due to insurance reasons, I couldnt afford the other surgery until it lapsed over to this year. I just went in for an xray study (where they fill your pouch with liquid and xray it) and the surgeon thinks there is a small leak.

My second surgery is scheduled for the last friday of this month. Now what Im wondering is if the surgeon can fix the leak and do the reversal in the same surgery? How do people with 1 step surgeries have bowel movements after? Do they use a anal catheter until their system is healed and stay on liquid diets? Im just trying to reduce the amount of time I have to go under the knife and obviously costs are a big issue because I can only afford 1 surgery a year due to insurance problems. (75k max)

Any input or people that have gone through a similar situation and what they did would really be helpful. I would like to be fully prepared before my appointment with the surgeon on Thursday. From what she had hinted on the phone, she was hoping to wait out another few months to see if this small leak will repair on its own.
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Hi FXT,

i had my step 1 in September of 2012 and my takedown in December. I too had and still have a small "leak". I had three pouchograms done and the first showed a small leak, the second it was tiny/pin hole and the third showed not much if any change from the second study. My surgeon believes it is a sinus tract and something he was not too concerned with. These things can occur. We talked about postponing ANOTHER 4 weeks but ultimately decided this is something that will be there and not cause me problems. I had my takedown and, knock on wood, am doing pretty good. I haven't had much trouble and go between 8 and 10 times a day a month out. I am able to hold it more and more and don't have accidents. As I try to introduce new things to my diet I notice a mild change in trips but nothing I can't handle. The doctor won't proceed if he/she thinks any harm would come to you. Your health is the ultimate goal. Good luck and keep us posted.
Yay thank you for taking the time to respond. Thats very reassuring. I think the surgeon mentioned over the phone that she wanted to wait and see if it improves. I have an appointment with her tommorow morning where she'll be going into detail as well as doing some prodding. My concern was the wait might not do anything because I've had the first step for a little over 4 months. I would think the healing is done by now. Always good to go in knowing all your options as Kaiser sometimes doesnt like to divulge all the options available.

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