Topic Explanation:

The forum discussion revolves around an individual, Mr. B, who is awaiting surgery to remove the remaining parts of his colon due to ulcerative colitis (UC). The procedure, often referred to as "Ken bum surgery," involves sewing up the anus after removing the rectum and inner sphincter. Mr. B expresses a mix of anticipation and anxiety about the surgery, hoping it will allow him to move forward and enjoy life. He is concerned about potential complications, such as bladder control issues and erectile dysfunction, due to the surgery's impact on pelvic nerves.

Advice and Insights:

1. Surgical Procedure:
- Ensure the surgery involves only sewing up the anus without additional procedures like skin flaps, which some have reported as unnecessary and potentially painful.
- The surgery is typically performed using keyhole and slight open surgery from the back.

2. Potential Risks:
- Be aware of the small risk of bladder control issues and erectile dysfunction due to nerve involvement in the pelvic region.

3. Pre-Surgery Anxiety:
- Anxiety is common while waiting for surgery, especially when anticipating a call for a surgery date. It may intensify upon receiving a letter or phone call with the date.

4. Post-Surgery Comfort:
- Consider purchasing a gel cushion for sitting post-surgery, as it provides comfort without causing issues.
- Avoid using blow-up donut cushions, as they can spread the cheeks and cause problems.

5. General Support:
- Many community members offer good luck and encouragement, emphasizing the importance of looking forward to life post-surgery.