Topic Explanation
The forum discussion revolves around the decision to delay or avoid reversal surgery for ostomates who are currently feeling good with their ostomy. The original poster (OP) shares their experience of meeting with a surgeon and contemplating whether to undergo reversal surgery. Despite initially wanting to remove the ostomy, the OP feels physically and mentally well and is hesitant to go through another surgery due to the associated risks and recovery time.
Advice and Insights
1. Surgeon Consultation and Timing:
- It's important to have a thorough discussion with your surgeon about the risks and benefits of reversal surgery.
- Some surgeons recommend waiting a significant amount of time (e.g., six months to a year) before considering reversal to allow the body to heal and to better assess readiness.
2. Complications and Risks:
- Reversal surgery can be more complicated and risky, especially if there were complications in the initial surgery (e.g., fistulas, abscesses).
- Factors such as underlying diseases (Crohn's, ulcerative colitis, diverticulitis) and previous treatments (e.g., radiation) can negatively affect the success of reversal surgery and the quality of life post-surgery.
3. Quality of Life Considerations:
- Consider the potential for strictures, adhesions, and scar tissue, which can affect intestinal function after reversal.
- Weigh the risk of needing to be near a bathroom constantly due to compromised intestinal function against the current quality of life with an ostomy.
4. Personal Experiences and Decisions:
- Some individuals have decided against reversal due to the high risks and potential complications, opting to live with the ostomy instead.
- Personal health conditions and past surgical experiences play a significant role in making this decision.
5. Mental and Physical Well-being:
- Feeling physically and mentally well with an ostomy is a valid reason to delay or avoid reversal surgery.
- Trusting one's gut feeling and being in a good place mentally and physically are important factors in the decision-making process.
6. Surgery Risks:
- All surgeries carry inherent risks, including the possibility of severe complications or even death, as illustrated by personal anecdotes shared in the discussion.
- The decision to undergo surgery should not be taken lightly, and the potential risks should be carefully considered.
7. Living with an Ostomy:
- Many people find that they can live a good
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