I did put a call into the Dr's office and his nurse returned the call today. Since it was definitely determined during the surgery that a j-pouch was NOT a possibility the Dr removed the rectum and sphincter and sewed the anus. In this Dr's opinion the total removal of the rectum eliminates the chance of rectal cancer
. Since the rectum and sphincter are removed there is no mucous situation to worry about
as none will occur and none is forming inside his body with nowhere to go. (Prior to the surgery and examinations...the sphincter had good muscle control if a j-pouch was going to be possible during surgery.)
Obviously the urologist can no longer do a rectal exam. If PSA levels warrant biopsies down the road there is enough of a wound
opening for ultra sound
"needle" biopsies to be taken.
By sewing up the anus in the event of any kind of emergency situation/serious accident or whatever nothing can be inserted in there if the hospital/dr was not aware of the ileostomy at the outset and if hubby were unconscious.
Just thought I would report the explanation we were given regarding why his Dr chose to handle his surgery in this way.