This topic is about someone who has been living with an ileostomy for two years and is now considering a second surgery to remove the remaining rectal stump. This decision comes after experiencing some bleeding, which tests have shown is due to inflammation, likely from diversion colitis. The person is seeking advice and personal experiences from others who have undergone this type of surgery, particularly regarding recovery and any after-effects.

Here are some insights and advice shared by others:

1. **Experiences with Total Proctectomy or Completion Surgery**
- Many people who have had the rectal stump removed report initial pain or discomfort, especially when sitting, but find long-term relief from symptoms like bleeding and inflammation.
- One person who had the surgery over 50 years ago mentioned it was a great decision, with initial healing challenges but no long-term issues.

2. **Possible Complications to Discuss with Surgeons**
- There is a possibility of affecting nerves to the bladder, which might be more common in men. One person mentioned losing bladder sensation and now manages by voiding on a schedule but otherwise functions well.
- Healing in the pelvic area can take longer, so it's important to be prepared for extended wound care.

3. **Psychological Considerations**
- Deciding on further surgery can be mentally tough, especially if the condition isn't life-threatening. Gathering detailed information can help in making an informed decision.

4. **Information Resources**
- There are threads on forum.iasupport.org with detailed user stories about total removal.
- Archived posts from 2011 titled “Surgery to remove rectum post ileostomy” offer various perspectives.

5. **Encouragement and Outlook**
- Many people lead active lives after the second-stage surgery, engaging in activities like kayaking, scuba diving, and working full-time. Celebrating milestones like “stoma-versaries” is common.
- Staying positive and well-informed is seen as crucial for a successful outcome.

The person is planning to have the operation at Freeman Hospital later this year and is preparing a list of questions for the surgical team. They enjoy boating near the River Tyne and are a fan of Portsmouth football, which adds a personal touch to their journey.