You have certainly come to the right place to bounce of your thoughts. I am like you with a rectal stump and an end ileo, but I am lucky that I have no issues whatsoever with my rectum, knock on wood. For me, if I ever have any reason (say biopsies on surveillance show something risky, or I have pain) then I am absolutely determined now not to have a jpouch, and just go for simple removal, because I have none of the psycholigical issues you mention, and also because i do not want to have any more protracted post surgery adjustments than absolutely needed. I do lots of sports, mostly tennis, hiking and cycling a lot , and travel extensively,and I do not find filling up the pouch to be an issue. I know when it is going to fill up based on what i eat and when I eat so I can select and time that stuff, use some immodium as well, or even if I couldnt time it right, I could burp my pouch in a sheltered area if it is gas, or even swap my pouch out in seconds (I use 2-piece partly to have that option). I am very surprised that it would be an issue for going back on the street as a cop. If you have fears of the ostomy being vulnerable in a physical altercation, you could use an ostomy guard-- there are active military and police who use them. I dont use one playing tennis though, I am quick with my racquet and take my chances.
Also, if one is getting a lot of output or gas in an external pouch with an end ileo, then I know that with a jpouch that would be the same gas or volume filling up my jpouch, only now instead of just a bulge to deal with it would be pressure to run to the toilet. All this is just to share my own preferences and total lack of interest in a jpouch, but it is your desire that matters and I agree that it sounds like you want a jpouch in your heart of hearts, and since you need at least 1 surgery anyway, and since takedown is the smallest surgery, you may as well get what you want. As this forum shows, most jpouchers are very happy campers, just as most ostomates are. I recall you posting before on this and it sounds like you really do want the jpouch so in that case go with the flow and proceed I think, unless we have read you wrong.
Post Edited (Probiotic) : 11/6/2014 11:27:54 AM (GMT-7)