I am at a crossroads with a fistual (channel) connecting my bladder and colon just inside the rectum. Mayo R wants to take out bladder and colon and replace with two bags. just got over another bladder/kidney infection for last 5 days with antibiotics and get them every 3-4 months. very painful. am 73 this year and don't know if the surgery is right for me. sexual activity is still important to me/us. don't want to give that up but want to live. when at Mayo R in 2018, it didn't sound like my two providers have done both surgeries at same time plus reconstruction after taking out bladder and lots of colon. prostate radiation in the area from 2007 makes tissues in the area fragile. being pain free is important but so is quality of life. praying a lot. stay tuned as am still undecided.