This topic is about managing the mucus that can be produced by a rectal stump after a colostomy. This can be a bit of a challenge, especially if the mucus has a strong odor or is produced in large amounts. One person came up with a creative, home-made solution called the "SASI" irrigation method to deal with this issue without needing surgery. Here’s a breakdown of their experience and some advice that might be helpful:

- After having a colostomy, the person was left with a rectal stump that produced a lot of foul-smelling mucus, which was more bothersome than their previous issues with fecal incontinence.
- The only medical solution offered by their surgeon was major surgery to remove the stump, but they wanted to avoid surgery.
- They tried several methods to manage the mucus:
1. An ordinary stoma irrigator, but the mucus was too thick, and the water just added more volume.
2. A Coloplast Anal Irrigator with a hand pump, which provided pressure but was still ineffective.
3. Using tampons, shaped sponges, and fabric pull-throughs, which collected some mucus but were messy and required frequent changes.
4. A modified Coloplast irrigator tip connected to a small pond pump, which was later improved by sealing the balloon-inflation lumen to prevent water inflation.
5. The final design involved modifying the Coloplast irrigator to attach directly to a household shower hose, allowing for adjustable water pressure and temperature.
- The first tip with a single forward jet helped loosen and flush mucus at the top of the stump.
- The second tip with side jets was twisted while withdrawing to clean the stump walls and remove harder mucus near the anus.
- A quick stand-up or squat at the end helped expel any remaining liquid.
- This device, nicknamed "SASI," was used while sitting in an empty warm bath or shower and provided 2-3 days of relief from mucus leakage.
- The person emphasized that this method was self-devised, low-cost, and may not be suitable for everyone.

Additional insights and advice include:

- Some people opted for surgical removal of the rectal stump, which resolved their mucus issues.
- At least one surgeon recommends a cleansing rectal enema every two weeks to manage stump mucus.
- When the mucus becomes mostly clear and odorless, simple absorbent barriers like a folded facial tissue held by an incontinence pad can be used for daily management instead of irrigation.
- Coloplast Anal Irrigator components can be modified and attached to standard plumbing couplers and a shower hose for better control over water temperature and pressure.