Question:
I am a J-pouch patient who previously had colitis and am now creating a social media support group focused on women’s specific issues. I am looking for an image, preferably a diagram or a textbook illustration, that shows a J-pouch surgery on a woman’s anatomy.
Despite extensive searches, I have been unable to find an image that includes the J-pouch in relation to female reproductive organs. Even my gynecologist, who specializes in complex cases, was unable to locate such an illustration. Given the unique challenges women with J-pouches face—including dehydration, surgical adhesions affecting fertility, and the development of fissures between the vaginal wall and J-pouch—having an accurate visual reference is crucial.
Can someone help locate or create a J-pouch diagram that includes female reproductive anatomy?
Answer:
Many women with J-pouches struggle to find medical illustrations that accurately depict how the pouch interacts with female reproductive organs. This gap in visual resources can make it difficult for patients, healthcare providers, and support groups to fully understand the unique challenges women face, including surgical adhesions affecting fertility, vaginal fistulas, and hydration issues due to monthly blood and fluid loss.
In response to a recent inquiry, Julie Tjan Thomas shared that while a specific J-pouch illustration for female anatomy is not available, she has provided images showing the different stages of creating a pelvic pouch. These images can serve as a reference for those seeking a better understanding of the procedure. If used, credit must be given to Mount Sinai Hospital as the source and to Julie Tjan Thomas as the illustrator.
For those looking for additional resources, reaching out to specialists in colorectal surgery, gynecology, or medical illustrators may help bridge this information gap. The need for better representation of women’s experiences with J-pouches is clear, and continued advocacy can push for more inclusive medical illustrations in the future.



Answered by:
Karen Bruton, RN BScN MCISc-WH WOCC(C)
Nurse Education Consultant – Interprofessional Practice Support
Indigenous Services Canada, Government of Canada
Ostomy Canada (Volunteer)
Medical and Lifestyle Advisory Team Lead
The post Visualizing Women’s Health: J-Pouch Illustrations in Female Anatomy first appeared on Ostomy Canada Society.