Preparing for an ileostomy reversal can be a significant step, especially after completing chemotherapy. If you're in this situation, you might be wondering what you can do in the months leading up to the surgery to ensure everything goes smoothly. Here are some helpful insights and advice:

- Typically, surgeons only require the standard pre-operative bowel preparation. You usually don't need to do anything special like enemas or stimulate the inactive section of your bowel.

- It's a good idea to start pelvic-floor and anal-sphincter strengthening exercises now. These exercises can help you regain control after the reversal. Kegel exercises and regular walking are particularly recommended.

- Stronger pelvic muscles can help reduce the risk of incontinence after the reversal, especially during the night.

- Your surgeon will likely assess your sphincter strength and provide personalized guidance on exercises to help you prepare.

- If your colon and rectum are intact, your bowel should relearn its normal function after the reversal. This is different from situations where part or all of the colon is absent, which would require more frequent rectal emptying.

- Generally, younger patients tend to recover bowel control more easily than older patients.

These steps can help you feel more prepared and confident as you approach your ileostomy reversal.