Preparing for a final consultation before J-pouch reversal surgery can be a crucial step in ensuring you feel ready and informed about the procedure. A J-pouch, or ileal pouch-anal anastomosis, is a surgical procedure often performed to help people who have had their colon removed. As you prepare for this important meeting with your surgeon, here are some key points and advice to consider:

- The surgery is scheduled for November 23, which is about six weeks away. It's a good time to gather all your questions and concerns.
- You are aware of some risks, such as pouchitis, which occurs in about 20-25% of cases, and the potential for cuff cancer. It's wise to discuss these risks further with your surgeon.
- Your surgeon has been performing this procedure for around 15 years, and it is one of the most common surgeries they do. This experience is reassuring.
- During the surgery, 1-2 cm of the rectum will be retained to minimize nerve damage. The surgeon has mentioned that this remnant poses a minimal cancer risk.
- You have expressed concerns about continence and the possibility of nerve damage affecting sexual function. The surgeon has reassured you that there is no history of sexual nerve injury in male patients.
- Being young and of healthy weight are positive factors that your surgeon believes will aid in your recovery.

Here are some additional pieces of advice and insights:

1. Don't shy away from asking any "awkward" or detailed questions. Being fully informed can help prevent any unpleasant surprises later on.
2. Make sure to confirm that your surgeon is highly experienced in both J-pouch creation and reversals, as specialist expertise is important.
3. Remember that you have a community of people who are offering moral support and are interested in hearing about your progress. Keeping them updated can be a source of encouragement for you.