Ensure you have a transit study or sitz marker test which is the only way to determine if you have CI or not. Also the rectum exams very important too so there is no inertia there too. Its so hard to know how one shoudl proceed but if your bowel is inactive then there is no more to be done - some consultants just remove it and connect smal bowel to rectum, others dont remove the large bowel but give you an ileostomy.
1997: Diagnosed IBS
2003: Pelvic Floor repair
2006: STARR/ODS/diagnosed slow transit constipation
2007: Sigmoid resection made colonic inertia worse
March 2009: Total colectomy/loop ileostomy - quality of life 100%
Sept 2010: Ileostomy reversal - constipation symptoms
Aug 2011: Gastric emptying test.
I am going back to the ileostomy this year