This topic is about someone who recently had ostomy surgery and is now experiencing bladder control issues, specifically nighttime bed-wetting. They are feeling quite emotional about the situation, crying privately twice a day, but are otherwise managing to adjust to their new circumstances.

Here are some helpful insights and advice for dealing with this situation:

1. The person had an exploratory laparotomy and abdominal lavage during the same surgery, where a perforation in the large intestine was found and treated. This could be related to the bladder issues.

2. Until the cause of the incontinence is identified, they plan to use adult diapers for nighttime protection.

3. A follow-up appointment is scheduled for next week to seek more information and answers.

4. It is recommended to undergo diagnostic testing, such as imaging, cystoscopy, or urodynamic studies, to determine if the surgery affected the bladder or if there is another underlying issue.

5. There is a possibility that the bladder or its nerves might have been inadvertently affected during the surgery. Only a medical evaluation can confirm this.

6. Urinary incontinence can result from various urinary-tract problems, such as issues with Skene’s gland or other anatomical or neurological changes. It is advisable to request a referral to a urologist for a specialized assessment.