Christine not to make you further alarmed but my husband's surgeon @ Mayo Clinic did the same thing for the same reason/explanation.
As much as we knew before the surgery and went into it with the hope that he might be able to do the j-pouch (2 surgeries) he ended up with a permanent ileostomy.
We knew there was a good possibility that he could end up with the permanent ileostomy but somehow either we forgot or he didn't go into great detail about
the rectum removal and anus closed or we just didn't remember that detail. I'm pretty good at taking notes and such so we were surprised not being prepared for that fact. At first my husband was a bit taken aback by it all. It was a freaky thing for him to wrap his head around....however it isn't being used and can't be used so once all the questions were asked and answered he accepted it and moved on about
I remember reading the differences here in the beginning and the discussions so I made a special call to re-ask some questions and concerns which were put to rest insofar as we are concerned personally. (Maybe when it is known and decided during the surgery that a pouch is definitely NOT a possibility he chooses to also incorporate this in the surgery??? It was a 7 1/2 hr very complicated surgery overall. We have total faith in him as most everyone does when they select a surgeon so you just have to hope for your own personal situation what is done is the right thing for you under the circumstances when they are in there operating.)
Obviously different surgeons view this differently. I can't honestly say who is more correct in this case or not...maybe it is a draw and each surgeon does it his way based on his/her own methodology. I suppose if it does present a problem down the road there is the opportunity to have another surgery to correct the situation but hopefully that will NOT be needed for you or anybody else.
That was the hardest part of his recovery as his butt was sore and sitting was a challenge for 3-4 weeks after the surgery as the abdominal incision healed just fine. Initially it was lumpy bumpy from the external stitches but when the internal and extenal stitches healed it is very smooth now and his two butt cheeks where the drains were, healed fine and there are just 2 little straight line scars there now.
Post Edited (Another UC wife) : 7/13/2011 8:32:52 AM (GMT-6)