Just popped in for a peek for old times sake... I have an ileostomy and have not been here in ages (and will disappear again for ages) because I basically have no issues whatsoever with ileostomy life since I got one around 4 years ago (and I was battling moderate to severe UC flares for over 10 years unresponsive to everything)... Never tried, or wanted, a jpouch (I still have a non-problematic stub rectum that I will ditch "one of these days", but don't want jpouch) but as far as pros and cons already mentioned, wanted to de-con some from my own feared ileostomy cons from my own personal experience:
-- Having to buy supplies: not a con for me as it is 100% covered by my insurance
-- having to carry supplies in case of emergency: very minor con for being out and about
in the day- amounts to a small wallet sized emergency pack in a tiny ziploc; traveling, it adds a negligible amount unless one is travelling for months and even then amount is small.
-- noises: literally zero con or issue for me once initial post-op months were over, silent as a churchmouse
-- bulging under clothes: I use form fitting stoma boxers from Ostomy Secrets that keep my stoma pouch snug, comfortable and form fitting... no bulge unless I eat like a pig and don't go to the bathroom for hours and hours all day long, but in practice one has to pee and that is as good a time as any to empty it all out long before it is ever visible. I guess for me a minor con in that I wont wear tight shirts, but I never liked tight shirts. (My wife misses em a bit tho lol).
-- blockages: zero-con for me once initial post op months were over and I understand to chew food well and not do stupid things like, say, eat a pound of dry almonds non stop in one sitting.... I can eat anything I want but have learned to avoid mass quantities of popcorn or almonds and instead eat varied foods and not pig out on food that doesn't chew or digest in the stomach into a liquid mulch.
As for a pros that I plausibly enjoy over a jpouch:
-- never having to worry about
having to deal with urge to go to bathroom again, ever, period, or having to rush to hold it in... with an appliance it is a gradual process and there won't be a sudden crisis, and warning time to need to empty is measured in an hour or so vs possibly minites I guess depending on the sensitivity in ones rectal nerves with a biologically internal pouch
-- having the option of swapping out my bag instead of emptying it in situations where a bathroom or public defecation spot is not available... I could just pull my pants down a couple of inches, pull up my shirt up a few inches, and swap it out in seconds... Not difficult for me to do cleanly once one has practiced and has basic understanding of whether it is esp. active at that moment-- not my first choice, but something that for example Blue Heron on this forum, who is mountain climber, chose an ileostomy over a jpouch for, since pooping on the side of a mountain cliff isn't an option. (This requires, as a matter of obvious etiquette, wrapping up the expended bag and disposing it in the trash later like one would a dirty diaper).
Christopher, very satisfied ileostomate
Post Edited (Probiotic) : 7/19/2017 10:52:25 AM (GMT-6)