The topic at hand is about the success rate of ostomy reversal procedures for seniors aged 75 and older. A 75-year-old patient is considering a reversal after their surgeon mentioned it was possible. However, the patient is concerned about the high failure rates they have read about and is seeking experiences from others in the same age group who have had successful reversals.

Here are some pieces of advice and insights to consider:

- Talk to your surgeon about what "success" means. Some statistics only consider the surgery successful if the reconnection is made on the day of the procedure, without considering long-term quality-of-life factors like frequency, urgency, pain, infections, or incontinence.

- Before the operation, ask specific questions such as:
1. Will you have a straight colorectal/colonic reconnection or a J-pouch?
2. Do you have ulcerative colitis, Crohn’s disease, or another condition?
3. How is your sphincter control?
4. How well are you managing your current ostomy, including leaks, daily care, and mental health?

- Be cautious with J-pouch procedures. Some people find the surgery technically successful but later face issues like frequent bowel movements, infections, pain, or incontinence, leading some to opt for a permanent ileostomy.

- Colostomy reversals generally have a better prognosis than ileostomy or J-pouch reversals. Your overall health and fitness at age 75 are important factors.

- There are positive outcomes among seniors:
1. An 81-year-old reported no problems one year after reversal.
2. A 71-year-old experienced minimal issues four months post-reversal, with mental health benefits outweighing the risks.

- If you are managing your stoma well and have a good quality of life, it might be reasonable to keep the ostomy. However, if you are not satisfied and are otherwise healthy, a reversal can be successful even in your late 70s or early 80s.

- Ultimately, weigh the surgical risks against your current life with a stoma. The decision is highly personal and individual.