The topic is about the recovery experiences and expectations after undergoing rectal stump removal surgery, often referred to as proctectomy or "Barbie-Butt" surgery. This procedure can be a significant step for those who have had an ileostomy, and it's natural to feel anxious about the recovery process. Here are some helpful insights and advice to guide you through:

1. Sitting and Wound Protection
- In the initial weeks, sit carefully. Using a doughnut or coccyx pillow can help reduce pressure on the newly-stitched area.
- The stitches on the outer buttocks will likely dissolve first, causing the cheeks to gradually separate and possibly weep. Feminine pads or light incontinence pads can help keep the area dry.

2. Healing Times and Variations
- Healing can vary widely. Some people recover in about 6 weeks, while others may take 3 to 6 months. Factors like severe proctitis, previous radiotherapy, or post-op infections can extend healing to a year or more.
- Drains might be placed for a few days and can be uncomfortable, but once removed, many people resume normal activities within 3 to 5 weeks.

3. Factors That May Slow or Complicate Healing
- Conditions like residual rectal inflammation, previous radiation, or extensive internal disease can slow healing.
- Post-operative infections might cause the wound to open and drain pus, requiring daily care and dressings for an extended period.
- Hernia support belts or abdominal binders might cause discomfort by pressing the bowel into the pelvic cavity.

4. Nerve-Related and Sexual/Urinary Issues (Mainly for Men)
- The surgery area involves pelvic nerves, which can affect erectile function and ejaculation. Consider banking semen if future fertility is a concern.
- Damage to sacral nerves or the bladder neck can lead to urinary retention, possibly requiring self-catheterization. It's important to choose an experienced colorectal team.

5. Sensations After Closure
- It's common to experience itching over the scar, phantom gas, or a fleeting urge for a bowel movement, which are usually harmless.
- Long-term sensations like cold, pressure, or internal movement might occur when standing or after exercise. These could be due to muscular, circulatory, or organ shifts.

6. Comfort and Hygiene Tips
- Daily sitz baths or warm-water soaks with a gentle cleanser can keep the area clean and aid healing.
- A diet rich in protein and nutrients, along with supplements recommended by a healthcare professional, can support tissue repair.