I see I forgot to answer your question, Colleen. One surgeon believes that J-pouch will be necessary to minimize “stacking” & assist in control / frequency. Another, believes j-pouch comes with its own challenges that don’t warrant its use in my case, though he indicated he may form some type of pouch once surgery is underway and he sees what conditions may warrant. Both of these surgeons are very experienced and from top institutions. Consistently, both cited the complexity and challenge of operating in the tight space of the male pelvis. I really wish there was more consistency between the two, because I have immense confidence in and respect for both.