This topic is about the decision-making process involved in considering an ostomy reversal. It explores the hopes, fears, and personal circumstances that come into play when deciding whether to undergo a colostomy reversal. Here are some key points and insights shared by individuals who have faced similar decisions:

- The hope that a reversal could help life get "back on track" is common, but it's important to be aware of potential surgical risks that might not be immediately obvious.

- Balancing fear, limited information, and personal expectations can be challenging as the date for a potential reversal approaches.

- It's a complex decision, and many wonder how to gather enough information to make the right choice about keeping or reversing a stoma.

- Bill, who started this discussion, does not have a J-pouch but manages his colostomy through irrigation. Before his surgery, he experienced severe fecal incontinence due to a persistent rectal prolapse, which was not resolved by several operations. The creation of the stoma eliminated both incontinence and pain for him.

- He emphasizes the importance of addressing the emotional and psychological impact of living with or without a stoma early in post-surgical care. He also values hearing how others approach their decisions, acknowledging that these choices are highly personal.

Here are some additional insights and advice from others:

1. Quality of life with a stoma can be as good as or even better than life after a reversal or with a J-pouch. Many people find that an ostomy is not the worst thing in the world, and most daily activities, productivity, and enjoyment are still possible. The adjustment is often more emotional than physical.

2. Some people have negative experiences with a J-pouch. For instance, one person plans to return to an ostomy bag after five years of debilitating incontinence and is curious about others' experiences with a J-pouch.

3. Every situation is unique, and it's important to respect individual choices. Some people can have a reversal, while others cannot. Each person must weigh their personal medical history, risks, and desired lifestyle.

4. There are success stories in managing leakage. One person reports achieving a full week between appliance changes, showing that good wear-time is possible with the right routine.

5. Psychological support is essential. Emotional and mental health issues should be integrated into post-surgical follow-up to prevent longer-term problems.