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Feb 4, 2018 · Long term QOL re: bowel habits & Treatment/Surgical approaches in Colorectal Cancer

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.

Feb 3, 2018 · Long term QOL re: bowel habits & Treatment/Surgical approaches in Colorectal Cancer

Thank you for the welcome and thank you @soul and @travelgirl for sharing your experiences. I find the answers to my questions are often bigger than my questions. My impression has been that laparoscopic and robotic were independent approaches to surgery. Also, despite being described as a J-pouch by one of my surgeons, I will apparently be having my large intestine reattached to the remains of my rectum. I’m quite scared of quality of life following the reattachment from a bowel movement perspective regardless of a pouch or straight attachment. I’ve read papers suggesting both have problems and some that suggest the long-term experiences are comparable at more than two years out. Given the location of my cancer, radiation is typically indicated and I understand that can further degrade bowel movement experience. I have a chance to participate in a trial that is exploring whether radiation’s benefits outweigh the risks for my staging (where I could randomly be selected to not receive radiation). Anyway, sorry for the rambling and many, many thanks for the thoughtful responses!

Feb 1, 2018 · Long term QOL re: bowel habits & Treatment/Surgical approaches in Colorectal Cancer

I have been diagnosed with stage 3 rectal cancer and have had both open/J-pouch and robotic/non-J-pouch surgical solutions proposed by various surgeons. While I’m probably naïve to assume there’s an answer to this beyond the conflicting papers I’ve read, I’d welcome insight from people who’ve had various procedures and what their experiences have been 2+ years after the surgeries. I’d love to make an optimal choice, but am coming to the conclusion no one really knows what that answer is.

Thanks,
Mike