If you are having an IRA for UC you ulitmately have to have additional surgery to remove the rectum. I haven't met anyone who has successfully kept an IRA long term for UC as the disease remains in the rectum and can be especially virulent. My UC was limited to my rectum and was severe enough to force me to have the IAA (jpouch). Again if your sugery is for UC, hard to tell by your post, I would question any CR surgeon that would be willing to do an IRA. You can meet some failed IRAs at www. j-pouch.org and get their stories.
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free