This topic is about a new treatment called Solesta, which has been recommended for approval by the FDA's Gastrointestinal Drugs Advisory Committee. Solesta involves four gel injections that aim to reduce episodes of fecal incontinence by about 50%. This development could be significant for people considering ostomy reversal, especially those concerned about accidents after the procedure.

Here are some key points and insights shared by the community:

1. If Solesta gets full FDA approval, it might be a helpful option for those considering ostomy reversal, particularly for colostomates and ileostomates who are worried about post-reversal accidents.

2. The main clinical trial for Solesta involved women aged 50 to 60 with intact anatomy, so it's still unclear how widely applicable the treatment will be.

3. The person who shared this information mentioned that even a 50% reduction in accidents would have been very valuable during their own reversal process. They now have a permanent colostomy due to pain and radiation damage but want others to know about this potential option.

4. Some community members question whether reducing accidents by 50% (for example, from 10 to 5 per day) truly improves quality of life. They suggest that an ostomy might offer a more definitive solution with no accidents and a reduced cancer risk, especially for those with ulcerative colitis.

5. There is some skepticism about "quick-fix" treatments like drugs or injections. Some feel that the medical industry might oversell partial improvements instead of discussing ostomy as a legitimate or best-quality-of-life option.

6. Others argue that for chronic conditions like Crohn’s disease, an ostomy is not a cure. Issues like leaks, skin problems, and ongoing disease activity can persist, so reducing accidents by half with Solesta could still provide meaningful relief.

7. Two community members are undecided about undergoing colostomy reversal. They have heard more regrets than success stories and are seeking feedback from anyone who has had a positive experience after reversal.

8. A person preparing for an upcoming reversal surgery shares their anxiety about the procedure and bowel preparation. Community members suggest doing pelvic-floor (Kegel) exercises and note that newer surgical techniques have improved outcomes compared to earlier experiences.