This topic is about recovering from a permanent colostomy surgery, which was done after treatment for rectal cancer. The person is experiencing some common post-surgery issues and is looking for advice and reassurance. Here are some insights and suggestions based on similar experiences:

- Incision Leakage:
- It's not unusual for some fluid to leak from the incision for several weeks or even months, especially if there are still stitches or if radiation was part of the treatment. However, if the drainage is heavy or doesn't seem right, it's important to talk to the surgeon to make sure there are no complications.

- Sitting Discomfort:
- It's common for sitting to be uncomfortable for several months as the body heals. It's important to take it easy and allow time for recovery. Some people find that Epsom-salt baths can help keep the stitches moist, which might reduce pulling and ease both drainage and pain.

- Urination Problems:
- After pelvic surgery, it's possible to experience urgency without being able to urinate, or to feel pressure after urinating. This can be due to nerve disruption, swelling, or an enlarged prostate. These symptoms often improve over time. Continuing with Flomax (tamsulosin) might help, and seeing a urologist could be beneficial if there are issues with fully emptying the bladder.

- General Recovery:
- Being just four weeks post-surgery is still quite early in the recovery process. It can take up to a year to fully regain energy and adapt to changes. It's important to be patient and keep an eye on any symptoms that seem excessive or are getting worse, and to seek medical advice if needed.