This topic is about someone who is preparing for a surgery called a completion proctectomy, also known as "Ken Butt" surgery. This procedure involves removing the remaining rectum, anal canal, and inner sphincter. The person is hoping to have the surgery in about four months, but it could happen sooner if there's a cancellation. They are feeling anxious about the wait and are looking forward to recovering, enjoying life, and possibly finding a partner after the surgery.

Here are some helpful insights and advice shared by others:

1. The surgeon plans to use a laparoscopic, or "keyhole," approach with a small incision at the back. The inner sphincter and rectum will be removed, and the outer sphincter will be sewn shut without using a skin-flap closure.

2. There are concerns about potential bladder-control or erectile-dysfunction issues due to possible pelvic-nerve damage, although the surgeon has mentioned that the risk is small.

3. The person lives independently and mainly relies on their mother for local support. They are particularly worried about the risk of erectile dysfunction when considering future relationships.

Advice and insights from others include:

- Surgical closure method: It's recommended to confirm that only the anal opening is stitched closed, without using skin flaps or sewing the cheeks together. Some have reported that this simple stitch closure was painless.

- Managing pre-surgery anxiety: Be prepared for stress to increase when the hospital calls with a surgery date. Cancellations, especially around bank holidays, might offer earlier slots.

- Nerve-related worries: Nerve healing can take longer than tissue healing. It's important to focus on recovery first and address any erectile issues later if they arise.

- Post-operative seating comfort: Consider buying a gel cushion for sitting after surgery, as they are comfortable and help relieve pressure. Avoid inflatable "donut" cushions or any cushion with a hole, as they can spread the cheeks and cause problems.