This topic is about a situation where a person, after having their rectum surgically removed and living with a permanent stoma, starts experiencing urine exiting through the area where the rectum used to be. This unexpected development occurred after a change in the suprapubic catheter, and the person’s spouse is seeking understanding and advice on what might be happening.

Here are some helpful insights and advice shared by others:

1. If urine is leaking through the former rectal site, it is important to contact the surgeon or visit the emergency room immediately, as this is not normal.

2. Possible causes for this issue include:
- A fistula, which is an abnormal connection, between the bladder or urinary tract and the perineal wound.
- Issues with the suprapubic catheter, such as it being in the wrong position, blocked, or kinked.

3. It is recommended to have prompt imaging and a surgical or urological evaluation to determine if a fistula is present.

4. For catheter issues, ensure that the catheter tip is correctly positioned inside the bladder. Sometimes, simply reinserting or rotating the catheter, as was done in the emergency room, can resolve the problem of urine misdirection.

5. An open perineal wound a year after rectal surgery is unusual and should be reviewed by a specialist.

6. Emotional support is important. Acknowledge the stress of the situation, encourage perseverance, and hold onto hope for a positive outcome with the ongoing cancer treatment.