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1. I had undergone IPAA but immediately after creation of the pouch and creation of stoma, I began to notice blood coming out along with small amout of mucus/stool through anus.

Doctor suspected that it was cuffitis. From then on I have been taking mesacol suppositories. Now I take the suppositories only once a week.

It has been planned that a mucosectomy be done to remove the remaining part of rectum (2.5 cms) and then final take down be scheduled at some later stage.

This is being postponed for one reason or the other. I am now having my pouch for more than 2 years.

Now given the minimum problem I have with cuffitis I think I shall go for a takedown and use mesacol for handling cuffitis.

This is based on the view that mucosectomy leads to night time soiling and impacts quality of life.

2. (PLUS: recently some one said the internal pouch becomes dysfunctional after 14 years. It becomes dysfunctional even earlier for those who develop cuffitis.

(Myth or reality?)
I had a mucosectomy with my initial surgery, and have never had incontinence. I don't know rates of incontinence with one done after pouch creation, though, like later on.

I've certainly had some changes off and on. My GI said that yes, there are some people developing new things 15-20 years down the line, but usually not things deemed fully "dysfunctional." I'm 23 years post, and still pouching it pretty well, overall, with a better quality of life than having UC, so... Just depends I suppose on the person.
rachelraven

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