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Apr 01, 2024

Seeking Advice on Colostomy Reversal After Frequent Urine Infections

Deciding whether to go through with a colostomy reversal can be a tough choice, especially when dealing with frequent urinary tract infections (UTIs). The concern here is that stool leakage from the stoma area might be causing these infections, particularly because of the close proximity to the bladder in females. The person is looking for insights from others who have experienced reversal surgery, how they balanced the pros and cons, and if anyone decided to return to a colostomy after a reversal.

Here are some pieces of advice and insights shared by others:

1. Many suggest trying D-Mannose, an over-the-counter sugar supplement, which some have found effective in quickly clearing up UTIs and preventing them.

2. One person shared their experience of having a colostomy for 8 months before undergoing a reversal. They have not experienced any additional UTIs and have no regrets, but they emphasize the importance of carefully considering personal pros and cons.

3. Another individual decided to keep their colostomy due to complications like fistulas and blood clots. Their surgeons advised that a reversal would likely involve multiple complex surgeries with a high risk of failure. They highlight the importance of having honest and thorough discussions with your surgeons and possibly consulting specialists in complex reversals.

4. Some questions to consider include:
- How much of the colon was removed, and is the rectum/sphincter intact? This can affect the feasibility of a reversal and bowel control afterward.
- Could not drinking enough fluids be contributing to the UTIs?

5. General reminders:
- Everyone's experience is different, so decisions should not be based solely on others' outcomes.
- Improving the fit of the pouch and the adherence of the skin barrier might help reduce leakage-induced infections.
- UTIs can also be caused by factors unrelated to the ostomy, such as urine retention or hygiene practices after intercourse.

No specific brands or models of ostomy appliances were mentioned, except for the use of D-Mannose.
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