I don't know for sure about j-pouch surgery but I would guess just like most surgeries that they would want to do it for sanitation reasons. When I had my colectomy they put it in after I was under the anesthesia so the only pain I had was the removal which is only a few seconds. I have actually had one inserted while I was awake and it caused minor discomfort for just a second or two so not sure about the too painful part. Surely you can handle a few seconds for the improvements you are hoping for with the surgery. I am not aware of any alternative.
Total Colectomy with End Ileostomy May 27th, 2008
Yes, it is inserted while you are under anesthesia and removed once you get out of bed and walk, for me that was about 24 hours later. What is your concern?
Like you I was really not looking forward to having a catheter when I was having surgery (I am sure you will have to have one--you usually do need one during any major surgery) BUT they will put it in while you are asleep and you will not even know it or feel a thing!! :)
When you wake up with it in, it really is not that bad--annoying, but not painful. When they remove it, it only takes a second and is uncomfortable for only that second.
Don't worry I am sure you can definitely handle it. Mine was removed 3 days after my ileostomy...it was annoying to have to walk to the bathroom with the line dangling between my legs and the IV line getting in the way when I had to empty my bag, but it is only for a short time.