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Sep 1, 2010
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Hi,

I'm new to the forum and looking for some advice.

I got diagnosed with Crohns in 1998, got a bowel resection and "temporary" colostomy in 2000, and had another surgery or two before a total colectomy, an ileostomy and a rectal stump sometime before 2002. I was doing so-so with the Crohns until I started Remicade in 2005. Since then the Crohns has gotten much better.

Everything had been going along quite well until about May this year when I started getting bowel obstruction-like symptoms. Instead of the norm where I would get the symptoms for a day or two, they stuck around for weeks, at which point I started eating less. I started feeling somewhat better, but also started losing weight.

After a meeting with my specialist and a CT scan, it looks as though I have a parastomal hernia, with an extra loop of my intestine coming through my abdominal wall. My specialist strongly suggested surgery was necessary to repair the hernia.

At my first meeting with the surgeon, I was presented with a question I had never expected : he asked me if I wanted to be "reconnected" or if I'd prefer to have my rectum removed at the same time he fixed the hernia. (It sounded to me as though there is an increased risk of developing cancer in the rectal stump if it's unused, so it would be best to get rid of it if I didn't have any plans to use it.)

My initial reaction was that I should stay with the tried and true, as my ostomy had changed my quality of life dramatically when I first got it in 2000. My memory of the time immediately prior to the ostomy is that of a life where my every thought included a calculation of the time and distance to the closest bathroom.

After some time to think, a flexible sigmoidoscopy, and biopsies that show a relatively healthy rectal stump, I'm currently planning on getting "hooked back up."

And that brings me to my actual question : does anyone have any experience / advice in this area? Specifically, I'm worried that after my surgery (3 weeks away) I'll once again be tied to the bathroom. I don't have any large intestine, and I haven't used any rectal-related muscles for 10 years now. Maybe they've forgotten how things work?

I currently visit the facilities 5 to 7 times in a 24 hour period, but mostly on my terms as I don't have "the urge" to go. While not always convenient, my ostomy hasn't really been a big burden, and most of my thoughts of it are good as it drastically improved the way I lived life. However, I can't help but think wistfully of being reconnected again.

Any advice appreciated!
 
Hi Owen, :welcome: I have had resections but not a stoma or any of your type of surgeries, but there are many here that have. Not sure anyone has the choice you have to face but someone can come on here can comment.

Glad you found our community, great people here to help and support also to give their experiences and thoughts. Hope you join our community. :)
 
Hi Owen
and welcome

I'm sorry I can't help with this, but my first thought was if it aint broke, why fix it?
hopefully someone will come along and put a different slant on it.
glad you found us, lots of friends here for you
lotsa luv
Joan xxx
 
Hi Owen, I posted on your other thread but just wanted to come in here and say welcome and I hope you stick around!!! Good luck!!
 
Thanks for the support! This seems like a very welcoming online community.

I've also had the thought of "If it isn't broken...", but then I'm about to have surgery due to the fact that my ostomy has played a part in allowing a hernia to develop where it likely wouldn't have otherwise.

This is the first time I'll have had this sort of surgery for reasons not directly related to active Crohns... Who know how long I might have been able to go without surgery if not for the hernia.
 
I see you are Canadian, and I am wondering if you are having long waits for your surgery? Just curious, as being Central North myself, and have an appt to get either a local referral (current Gi is retiring) or a teaching GI in Toronto and I know the waiting list is long. When is your surgery? Good luck.
 
I saw my specialist July 6th, the surgeon July 27th, and have surgery booked for Sept 23. I can't really complain that it's taking long, although they had both said it was urgent enough that I had expected it to happen sometime in August.
 
Hey Owen: I hope that the surgery goes smoothly and results in good things for you.
 
Hi Owen,
Just wanted to wish you good luck with your upcoming surgery, and hope for a speedy recovery!
Best wishes
 
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