Your surgeon should have told you that due to your spinal cord injury and having to push abdominally to pee that you might be at risk of stomal herniation. It was HIS or HER job to tell you that, not your job to know that.
In the land of "What the hell was I thinking?" I AM THE LEADER IN THAT! Here is my issue in a nut shell: I had a hysterectomy at 39 for heavy bleeding THOUGHT to be from fibroids. BUT on review of that case that was not the cause, it was a hormonal upset that could have treated medically. I was fine for 12 years. THEN I started having incomplete rectal emptying. I was still passing much stool every day rectally, colon fully intact and healthy, but because most moves were incomplete it took me 2-4 hour each day to feel finished. Some moves were complete and others were incomplete. This made me late for work and I sought help. BIGGEST error in my life that almost cost me my life and still may, but am OK 3 years now and hoping.
I had this image test called a Defecogram. A resident radiologist at a major hospital said my sigmoid colon blocked off the top of my rectum when I pushed to make a BM. I went for 3 consults at top hospitals, all colorectal surgeons said I needed my sigmoid colon out. I was tired of spending half the day in the bathroom. SO I had it out at the place that sounded the most experienced in what I was told was all these internal prolpases from having the hysterectomy (was told that my sigmoid colon filled the space left by absence of uterus.) Long story short, these surgeons did multiple unconsented organ prolapse surgeries for organs that were not prolapsing, they created tons of scar tissue, I got a sever stricture (narrowing) at the colon anastomosis, then the scarring also closed off my small intestine. It took 13 months, 11 surgeons, and 7 hospitals to find someone willing to help (because the problem had been created by doctors). The only thing that could be done was cutting adhesions off small intestine and permanent ileostomy. So here I am an ostomate not due to any disease. SO, I WIN THE TITLE FOR "WHAT THE HELL WAS I THINKING". I can sooooooo relate to how you feel. On review of my case it was found that it was not my sigmoid colon pressing off the top of my rectum but only a loop of small intestine. I did not need my sigmoid colon out all I needed was closure of a space in my pelvis where the loop of small intestine came down and sat on my rectum...as much simpler procedure with no bowel resection of any kind. In surgery the two original surgeons saw that my sigmoid colon was not elongated or redundant and proceeded to remove it anyway. Currently in litigation, but no amount of money will undo what was done. But am lucky to so far be alive. Prior to the lysis of adhesions and ileostomy I was unable to eat (due to ongoing small bowel adhesion obstructions) unable to get nutrition, and unable to pass waste due to the narrowing at the sigmoid anastomosis. Was just passed from doc to doc, nobody wanting to get involved, until I found the doc who saved me, one who was in medicine for all the right reasons.
Yes, find an expert in reversals and also involve a neurologist as you have the spinal cord injury. A friend of mine has this type of injury too and he has a long morning bowel "program" too. I understand what you are referring to. We all make decisions based on the info we have at the time or the info we don't have at the time. I have not stopped kicking myself yet. BUt, I'm traveling a lot as I lost my teaching job as I was out of commission for 13 months until I found help for my surgical injury. You are an inspiration. When I read your post I just wanted to respond. It touched me that you are dealing with bowel stuff AND your spinal cord issue. Made me more appreciative of my mobility. I guess we all take a lot for granted. My friends who have no bowel issues take pooping normally every day for granted. They don't have a clue.
Best Regards, Rosemary