I am 18 years post my continent urinary diversion bladder augmentation. I am very happy I had the surgery. I felt I was freed from my 'ball & chain" (aka urine collection bag & in dwelling catheter.)

For the past few years, I have been suffering with distention of my abdomen, over- production of gas (mostly in the upper GI), diarrhea, and constant belching? I wonder if these issues can be in any way related to this surgery.

What are long term complications from this surgery?

1. Metabolic issues?
2. B-12 absorption issues?
3. Bacterial overgrowth because the ileal valve is removed the dirty large intestine stool can go back up into the small intestine? (SIBO)
4. Other complications?