Topic Explanation:
The initial post discusses the dilemma of having a rectal stump after having a colostomy for 33 years. The individual is seeking advice on whether it is worth the risk to remove the rectal stump due to the complications and discomfort it causes.

Advice and Insights:
- Some individuals have experienced complications and ongoing issues after having their rectal stump removed, including infections, nerve pain, and ongoing discomfort.
- The principal reason for doctors recommending removal is to avoid rectal cancer, which can spread quickly due to the concentration of blood vessels in the rectal area.
- Some individuals have chosen to have their rectal stump removed due to the high risk factor of colon cancer in their family and have experienced relief from issues like mucus drainage and sudden urgency to use the bathroom.
- Others have decided to keep the rectal stump despite the discomfort and complications, as they believe the fix may make it worse or due to the risk of developing an open weeping wound.
- Regular check-ups and routine biopsies are recommended to monitor for any signs of dysplasia or cancer in the rectal stump.
- It's important to consider the individual's specific health condition and consult with an experienced surgeon before making a decision about removing the rectal stump.