Pros And Cons Of Colostomy Reversal

The decision to undergo a colostomy reversal is often based on the individual's quality of life, the underlying reason for the initial colostomy, and the likelihood of success. The following are some potential pros and cons of colostomy reversal:

Pros:

1.  Restores normal bowel function: The main benefit of colostomy reversal is the restoration of normal bowel function, allowing the individual to pass stool through the rectum and anus rather than a stoma. This can significantly improve quality of life, self-esteem, and body image.

2. Decreased risk of complications: While colostomies can be life-saving in certain situations, they do carry risks of complications such as infection, skin irritation, and leakage. Colostomy reversal eliminates these potential complications.

3. No longer needing to manage a stoma: Managing a colostomy can be challenging, requiring the individual to learn new skills such as changing the appliance, emptying the bag, and dealing with potential leaks. Colostomy reversal eliminates the need for these activities.

Cons:

1. Risks associated with surgery: Colostomy reversal is a major surgical procedure that carries potential risks such as bleeding, infection, and damage to surrounding organs. There is also a risk of bowel obstruction or leak after the procedure.

2. Postoperative pain and discomfort: The recovery period after colostomy reversal can be uncomfortable, with pain and discomfort in the abdominal area, nausea, and fatigue. It may take several weeks for the individual to fully recover.

3. Possibility of recurrence: If the initial reason for the colostomy was due to an underlying disease, there is a risk that the disease may recur, leading to the need for further surgery or additional treatment.

4. Potential for incontinence: In some cases, colostomy reversal may result in some degree of bowel incontinence or difficulty controlling bowel movements. This can be a significant challenge for some individuals.

Colostomy reversal can be a life-changing procedure for individuals who have undergone a colostomy. However, it is important to carefully consider the potential risks and benefits of the procedure and discuss them with a healthcare professional. The decision to undergo colostomy reversal should be based on an individual's unique circumstances and goals.

Based on the discussions from the MeetAnOstoMate Discussion Forum, the pros and cons of colostomy reversal are as follows:

Pros (based on peer information):
- Some individuals have had successful reversals and are satisfied with the results, feeling better after the surgery and being glad they went through with it.
- Reversal surgery may lead to a sense of returning to normalcy, emotional relief, and a newfound appreciation for life.
- It can provide relief from chronic constipation and obstruction issues.
- It may result in a more natural way to go to the bathroom, physical comfort, and less risk of hernias.
- Some individuals have found relief and improved quality of life with an ostomy, allowing them to engage in activities they enjoy.
- It can lead to a positive outcome, improved quality of life, and a sense of empowerment.

Cons (based on peer information):
- Reversals aren't always successful and can lead to ongoing issues such as diarrhea, pain, and bloating.
- Some individuals have experienced negative outcomes after reversal, including worsened health and the need for additional surgeries.
- It may result in frequent bathroom visits, loose stools, and an adjustment period for the body to adapt to the changes.
- It can lead to complications and challenges, such as leakage, disfiguring scars, and the need for additional procedures to address issues with the lower colon system.
- Reversal surgeries can have varying outcomes, with some individuals regretting the decision due to complications.
- It may involve a significant recovery period, including severe pain, abdominal muscle slicing, scar tissue, and potential complications, requiring adequate rest and support during the recuperation period.

Check out these links for more information:

• Colostomy Reversal: Weighing Pros and Cons - Seeking Advice (February 05, 2018)
• Reversal of Ileostomy: Pros and Cons? (July 12, 2012)
• Pros/cons of ileostomy reversal at 60? (February 17, 2019)
• Reversal surgery complications: Seeking advice on risks and benefits (April 18, 2011)
• Complications of Ostomy Reversal: Leaks and Success Rates? (September 17, 2012)
• Considering Reversal: Am I Crazy? (November 12, 2011)
• Colostomy Reversal: Time Limit and Risks? (August 29, 2011)
• Concerns about Colostomy Reversal: Major Surgery or Minor Procedure? (September 03, 2018)
• Pros and Cons of Changing from Colostomy to Ileostomy (January 24, 2023)
• Successful colostomy reversal experiences and complications? (May 07, 2013)