This topic is about someone who had abdominoperineal resection (APR) surgery for colorectal cancer 13 years ago. They have adjusted well to living with a permanent colostomy but have recently started experiencing discomfort in their lower back and perineal area. Their doctors suggest this might be due to the shifting of internal organs into the space left by the removed rectum. They find some relief through yoga and using a heating pad, but are curious if others have had similar experiences and what else might help.

Here are some points from the discussion:

1. The person is wondering if other long-term APR patients have felt similar sensations of internal organ shifting.
2. They are also interested in knowing if this shifting causes pain for others and what methods, besides yoga, might provide relief.
3. Some members who are 2–3 years post-surgery have not yet experienced this type of discomfort but are interested in the conversation for future reference.