I just turned 48 years old. I had my cystectomy one year ago this month. I wish I had found this site before my surgery, as I had no women to discuss this with. Because of my age and being so active, my Dr. strongly recommended the Indiana pouch for me. I was very hesitant and did much online research. At the last minute, I did go with the internal pouch and I'm very happy with it. During the recovery, I had to use the external bag for a few weeks. I had reactions to the adhesive and other minor problems. Mostly, just being uncomfortable with it. My Dr also stated that as far as UTI's, the Indiana pouch had the least problems because there is no backup into the kidneys. At any rate, I still find it comforting that if you have the internal pouch, it can be reversed to the external if you decide later that it's not for you or if you have problems. However, the external bag cannot be reversed. As far as recovery, I had a hard time. There were no major problems, but it was painful. My advise to anyone facing this is to discuss pain management with the Dr before hand, as I was advised to do. That's something you'll be facing. It's not unbearable and I don't want to scare anyone, but it is part of the recovery. During the past year, I went through many changes both physically and emotionally, but things are leveling off now and I'm adapting well. If I can help anyone through this in any way, feel free to email me. I know what it's like.
Best wishes to the ones above going through this ordeal and my God be with you and your family. Family is so vital to a full recovery.