This topic is about dealing with pain and slow healing after an abdominoperineal (AP) resection, which is a surgery that involves removing the rectum and anus, often resulting in a colostomy. Five months after the surgery, the person is experiencing significant pain when sitting and can only drive for about an hour before the discomfort becomes too much. Although the stoma and pouching system are working well, the main issue is the persistent pain in the perineal area and the discomfort when seated.

Here are some helpful tips and insights for managing this situation:

1. Avoid using donut cushions as they can hinder healing by pulling the buttocks apart. Instead, try using a flat, soft rubber or foam pad for sitting.

2. Consider investing in a high-quality ergonomic seat cushion. Some options that have provided relief to others include:
- Cushion Lab Pressure Relief Seat Cushion
- Purple Seat Cushion line

3. Regularly take warm sitz baths, which involve sitting in a basin of warm water placed on the toilet. This can help soothe the area and reduce pain. Be sure to check with your surgeon or wound-care nurse to ensure this is appropriate for your situation.

4. Discuss with your doctor the possibility of using topical zinc-based products to aid healing. Options include:
- Traditional zinc oxide salves
- Over-the-counter diaper-rash creams containing zinc oxide

These products are often recommended to protect the wound and promote healing after this type of surgery.