This topic is about a person who is recovering from a significant surgery that involved creating a permanent colostomy and closing the anus, often referred to as a "Barbie-butt" closure. Additionally, part of the vaginal wall was removed due to a tumor. Twenty days after the surgery, the person is experiencing some post-operative issues and is seeking advice and insights.

Here are some helpful points to consider:

1. **Understanding Discharge and Bleeding**
- It's normal to have a small amount of mucus discharge from the vagina after surgery. However, if the discharge is heavy or there is noticeable bleeding, it might not be typical.
- Since a significant amount of tissue was removed, infections can occur. Starting antibiotics and taking a swab for culture are good initial steps to address this.

2. **Monitoring for Signs of Infection**
- Keep in regular contact with your surgical or gynecological team for follow-ups.
- Be vigilant and report any increase in bleeding, foul-smelling discharge, fever, or worsening pain as soon as possible.

3. **Wound Care and Support**
- In the UK, you can request regular visits from community or district nurses to help with inspecting and dressing the surgical wounds. This care might be necessary for several weeks or even months.
- It's common to see "slough," which is a mix of mucus, dead tissue, and dissolving sutures. Be cautious with physical activities, as overexertion can lead to fresh bleeding. Take things slowly and allow your body to heal.