They can do it in 2 steps, 3 steps or 1 step. 2 step is probably the most common, but if you're on prednisone, or you're sick, you may not be a good candidate for 2 steps. I've actually heard 3 steps have better outcomes in some cases, so if that's your situation, better to take a little longer than to have problems. 1 step is uncommon, and only done by certain surgeons. You would have to seek someone out if you were serious about
2 step means you will have the external pouch for at least 8 weeks. With a 3 step, you will have it for 20 weeks. 12 weeks after the first step, 8 weeks after the 2nd. I don't think the incisions are generally very different in 2 or 3 step. I didn't want any of course, but having the ileo for longer didn't give me more or less. It did however let me try out the end ileo, which is actually easy to live with. The loop (after step 2) is not cool at all though.
I wouldn't say you're wrong to think it's trading one set of issues for another, but for me, the issue of pooping my pants was so much worse than the issue of going more often. I'd rather go a lot, than not be able to control when I go. I'd say, if you're okay with urgency, don't have surgery,
Moderator: UCCurrently: no meds 6/15 Step 1 J-pouch Surgery Complete 9/15 Step 2 Complete 11/15 Step 3 Complete
From Sickly to UC Free
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