My surgery was 14 months ago. As already posted, everything is removed via a belly incision - mine is from the navel to pubic bone. Rear is sewn closed; looks like a "Barbie Butt." I've had no urges to go the old way. Scars have faded now, I've had my first colonoscopy via stoma, and am doing well. No more rectal cancer!
Good Luck! Martha
If your surgery is for ulcerative colitis you need to have your rectum and colon removed. If your surgeon tells you otherwise run to another surgeon for a 2nd opinion. If the entire rectum is left in place your UC will return to that area.