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I found this info from Google: (If it doesn't answer your question, try to search it on the web) One operation that is becoming increasingly popular is the Pelvic Pouch or Ileo-Anal Pull-Through commonly referred to as the J Pouch, S Pouch or W Pouch depending on where the stoma is located in the intestine. This type of ostomy does not require an external stoma and bag and only certain people are candidates for it. An internal pouch is constructed from the rectum allowing waste products to gather there before being expelled in the normal manner although bowel movements will probably be more frequent and watery than usual. If your rectum is too diseased and the anal sphincter muscle has to be removed (as mine was) then you are not a candidate for this procedure. This is because the anal sphincter muscle is required to make the J Pouch work.