This topic is about dealing with complications after a colostomy, specifically over-granulation and persistent mucus discharge. The person sharing their experience had a colostomy three years ago due to a perforated colon. Unfortunately, an attempt to close the rectal stump didn't work, leading to severe over-granulation, continuous foul-smelling mucus discharge, new polyps, and pain that makes sitting difficult. They are feeling quite down and are waiting to see a colorectal surgeon to discuss possible solutions, including plastic surgery.

Here are some helpful insights and advice from others who have faced similar issues:

1. Chronic mucus discharge and rectal stump infections are common after stoma surgery, especially for those with Crohn’s disease. Some people have noticed gradual improvement over several years.

2. One person tried using Humira (adalimumab) for six months, but it was not effective for them and caused pain at the injection sites.

3. For some patients with similar complications related to Crohn’s disease, a surgical option like complete removal of the rectum (proctectomy) has been recommended.

4. A conservative or wound-care approach might be helpful:
- Granulation tissue tends to grow in areas that are constantly wet and unhealed.
- Consider asking for a referral to a Tissue Viability Nurse (TVN) at a local or large hospital. They specialize in difficult-to-heal wounds and can suggest non-surgical therapies.
- Foam dressings placed over the rectal area can help absorb moisture and actively reduce excess granulation tissue.

5. Plastic surgery should be considered a last resort because additional operations can increase the risk of infection. It might be worth exploring dressing regimens led by a TVN first.