3. Restorative proctocolectomy i.e no 2 but making the “J pouch” with no permanent stoma (would still need temporary stoma to allow the pouch to heal).
At 41, if it was me i would go for no 2.
No 3 can work but significant complications if it goes wrong which is not that infrequent. TBH not as many done these days.
Not exactly correct – pouch would be what most with UC go for, safe in the majority, now done ‘keyhole’ a lot of the time too. Get somebody who has done plenty and you should get a good result.
It was and is exactly correct; most people with UC do NOT get a pouch….
although i do agree with the fact that if you do go for a pouch make sure that they do a reasonable number of them and don’t be afraid to ask for their leak/failure rate which as I said is not insignificant.