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May 28, 2025

Colostomy Reversal: Dealing with Post-Surgery Staining Issues

This topic is about managing minor leakage or staining after a colostomy reversal, which is a surgical procedure to reconnect the bowel after a colostomy. Eight weeks after the surgery, the person is healing well but notices some light stool staining in their underwear. They are considering whether to restart sphincter-strengthening exercises or if the issue will resolve on its own.

Here are some helpful insights and advice:

1. It might be beneficial to resume or increase pelvic-floor and anal-sphincter exercises, such as "anal winks." If the leakage continues, it could be helpful to consult with a surgeon about pelvic-floor physical therapy and biofeedback devices.

2. It's common to experience some leakage or staining in the early weeks after surgery. Many people find that this decreases over several weeks to a few months as the tissues continue to strengthen.

3. During this adjustment period, using disposable pads or liners in underwear can help manage any staining.

4. It's important to understand that the anal sphincter may not be completely watertight. If part of the colon was removed, stools might remain softer. Managing stool consistency through diet, such as incorporating soluble fiber, and maintaining adequate—but not excessive—hydration can be more effective than relying solely on exercises.

5. Be patient with your body. Full functional recovery often takes longer than 6 to 8 weeks, so giving yourself time is crucial.
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