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Aug 20, 2012

Surgery or Wait? Dealing with Parastomal Hernia and Prolapse Concerns

Topic Explanation:
The discussion revolves around the concerns and decisions associated with undergoing surgery for a parastomal hernia and prolapse. The original poster expresses anxiety about the potential outcomes of corrective surgery, given their previous experiences with a prolapsed stoma that varies in severity from day to day. They are also considering the opinions of different doctors to make an informed decision about whether to proceed with another surgery.

Extracted Advice and Helpful Insights:
1. Consider the Risks and Benefits of Surgery:
- Surgery might be necessary to prevent severe complications like a strangulated intestine, which could be more problematic than the current issues.
- It's important to weigh the potential benefits of surgery against the risks, especially if the current situation is manageable, albeit inconvenient.

2. Experience of the Surgeon:
- Ensure the surgeon is experienced in dealing with parastomal hernias and prolapses. It's crucial to choose a healthcare provider who understands the specific challenges and has a track record of successful outcomes in similar cases.

3. Personal Comfort with the Healthcare Provider:
- Choose a doctor based on comfort level and trust, not just on their credentials or the urgency they might communicate. Feeling confident and comfortable with the surgeon can impact the overall experience and outcome.

4. Impact of Steroids and Other Factors:
- Long-term use of steroids or other medications can affect muscle strength and might complicate the hernia or prolapse situation. Discuss these factors with healthcare providers to understand their impact on your condition and surgery outcomes.

5. Positive Thinking and Support:
- Engage in positive thinking and lean on support networks, including forums, friends, and family, to help manage anxiety and fear related to surgery and recovery.

6. Stay Informed and Prepared:
- Continue to seek multiple opinions if necessary and stay informed about all possible options. This can include newer surgical techniques or alternative management strategies that might be less invasive.

7. Post-Surgery Expectations:
- Understand that even after surgery, issues like prolapse might reoccur, and managing expectations about what surgery can and cannot fix is crucial.
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