This topic is about preparing for a consultation with a colorectal surgeon regarding the removal of a rectal stump, a procedure known as a proctectomy. The person seeking advice has had an ileostomy since December 2009 and is looking to gather a list of important questions to ask during their appointment. Here are some key points and advice shared by others:

- Ask about the expected length of the hospital stay and the overall healing time after the surgery.
- Inquire whether the external anal sphincter will be removed. Preserving the sphincter might shorten healing time and help maintain pelvic-floor stability.
- Find out which clinician will be responsible for handling postoperative issues and follow-up care.
- Since there is no known cancer, discuss the possibility of an inter-sphincteric proctectomy that leaves the sphincter intact.
- Consider pelvic-floor implications: Removing the sphincter and anus can cause pelvic structures to shift, which may particularly affect women. Preserving these structures might help maintain pelvic-floor and vaginal stability.
- Healing time can vary widely, with community experiences ranging from 6 weeks to 6 months. It's normal to experience soreness for several weeks.
- Request a detailed explanation of the surgical plan, including which tissues and muscles will be removed or preserved, such as the rectum, anus, and sphincter.
- Clarify the reasons for removing the sphincter, especially if cancer or insufficient clear margins are involved. Without cancer, preserving the sphincter might be an option.
- Determine who will manage follow-up appointments, wound care, and any complications after the surgery.
- Prepare a comprehensive list of questions to ask during the consultation to avoid surprises and to better understand recovery expectations.