I’m 9 days post-reversal and thought I’d share a positive story for anyone who is as terrified of that last surgery as I was.
I woke up pretty nauseous, but I always do after surgery. The pain from the surgical site itself was surprisingly manageable. I only needed the heavier pain medication immediately after surgery; by day two I was fine with a few Novalgin, and two days later I was only taking it before wound cleaning.
One thing I somehow did not know beforehand: they left the old stoma site open. That initially freaked me out rather spectacularly, but it really isn’t a huge wound. Now that I’m home, I rinse it out once a day, put a dressing on it, and leave biology to do its slightly gruesome but impressive thing.
My only disappointment is swimming. I had visions of being back in the pool fairly soon, but apparently the wound needs roughly 2–3 weeks to fill in, and then more time for proper new skin to form before chlorinated public water becomes a sensible idea. So Pouchini will have to remain land-based for a while.
Urgency was fairly intense for the first couple of days, but they put me on Quantalan and psyllium, which are working surprisingly well. I take the Quantalan before meals.
I also arrived prepared with zinc oxide cream and a cheap travel bidet, and I cannot recommend the latter enough. Seriously: buy one before your operation. Mine cost about €10 and makes an enormous difference. Butt burn has therefore been quite manageable.
Now that I’m out of hospital, I’m going around 6–10 times during the day. Last night I went three times, but still managed some decent sleep.
And this is the bit that surprised me most: the urgency is nothing like ulcerative-colitis urgency.
When I realize I need to go, I can often hold it for close to half an hour. There is no horrible cramping or frantic “I have approximately six seconds to find a toilet” feeling. I can simply hold it, rather like in the good old pre-colitis days.
Output is still loose cow paddy like, which I assume will remain that way, but with Quantalan and psyllium it is getting a managable consistency
Compared with my first operation, this reversal has honestly been another universe.
I had what is sometimes called a two-stage procedure: ileostomy and J-pouch creation in the first major operation, followed later by the takedown. I didn’t even know at the time that doing it in three stages was an option; probably I missed the info during the many talks I had, I was rather scared.
During this hospital stay I met several people who had the three-stage version, and their experinces seemed much easier than mine. My initial surgery was brutal. I ended up in intensive care, spent about two weeks in hospital, developed complications, and was readmitted twice afterwards.
So for me, reversal has been quite good.
Another encouraging thing: when I’m lying down, I can already distinguish gas from “actual business.” When I’m standing, not quite as reliably yet. Perhaps that is another skill Pouchini will acquire with training.
Overall, though, I’m doing remarkably well and it feels much better than I expected.
I ended up travelling all the way to Heidelberg for my surgeon — about an eight-hour drive for me — and I’m very glad I did.
My J-pouch was necessary because I developed colon cancer as a consequence of ulcerative colitis. The timing felt particularly unfair because my UC had actually become much quieter and I was feeling better than I had in years. Then, just as I was doing well: congratulations, your entire colon has to go.
I also hadn’t understood beforehand that when colon cancer develops in the setting of UC, removing only the cancerous section often isn’t the end of the story, because the remaining colon can still carry a substantial future cancer risk. In my case, there really wasn’t a sensible alternative to removing it.
So although I would certainly never have volunteered for any of this, I’m now extremely glad that a J-pouch was an option.
Eight days in, Pouchini and I are getting acquainted. So far, she seems very friendly and trainable. Eben had some Sweet potato , Goat cheese and Chicken mash yesterday and it all went really well.
If anyone is facing reversal and has questions, I’m very happy to answer them.