anus yes or no

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Hopeso
Regular Member


Date Joined Jun 2004
Total Posts : 231
   Posted 10/3/2005 11:49 AM (GMT -6)   
Here's another question. Concerning an ileostomy, my general surgeon removes the rectal tissue, but leaves the anus.
Is that ok?  A colorectal surgeon would remove the anus too wouldn't they?  Is that better?
Hopeso
 


sparkn
Regular Member


Date Joined Apr 2003
Total Posts : 273
   Posted 10/4/2005 8:44 AM (GMT -6)   
I am a little confused, I have never heard of having the anus removed, I thought that the rectum was all they could take out. I went to a colorectal surgeon who does a lot of work with crohns patients and had the rectum removed and sewn shut. I had it done both to help with the disease and to reduce cancer risks.
Happiness is a journey not a destination - Souza


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17453
   Posted 10/6/2005 2:55 PM (GMT -6)   
I believe the rectum is the anus. They usually don't remove the rectum unless it's diseased. If the rectum is left there, then there is the possiblilty of pull down surgery in the future, perhaps. Mine was so ulcerated from the Crohn's disease that I had to have it removed and the opening sewn shut. But, my colorectal surgeon left the sphincter muscles intact, just in case a new surgery is developed where I can have the ileostomy reversed. Right now, that is impossible for me.

Suzy2
Regular Member


Date Joined Aug 2003
Total Posts : 335
   Posted 10/6/2005 5:10 PM (GMT -6)   
Hi Sherrine. So you still have sphincter muscles but you are sewn shut? Do you know, I just presumed that because I am sewn up that my sphincter muscles must have gone as well as the rectum. You have given me a question for my Doctor. Thanks

Sue


Sherrine
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Date Joined Apr 2005
Total Posts : 17453
   Posted 10/7/2005 2:09 PM (GMT -6)   
My colorectal surgeon is the head of the colorectal department of the Cleveland Clinic. He told me that, even though there wasn't a reversal surgery for Crohn's patients, there might be sometime in the future so he left the sphincter muscles intact. Now, I THINK you can tell if you have them. Pretend that you were trying to hold a bowel movement inside (like it was before surgery). You should be able to feel those muscles squeeze and release. I'm not positive, but I think those are the sphincter muscles. I hope you still have yours, since medicine is coming up with new things every day!

Suzy2
Regular Member


Date Joined Aug 2003
Total Posts : 335
   Posted 10/8/2005 11:07 AM (GMT -6)   
Well I did what you suggested and it actuely all feels the same to me now as it did before the surgery so maybe I do still have those muscles. I will ask the Doctor about it anyway when I see him in November.

Thanks

Sue


Hopeso
Regular Member


Date Joined Jun 2004
Total Posts : 231
   Posted 10/9/2005 4:26 PM (GMT -6)   
Sue, I think I have seen a picture where there are 2 sets of muscles, and one sets inside of the other around the rectum, and I think they remove the inner ones sometimes.
Hopeso
 

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