This topic is about dealing with the aftermath of rectal removal surgery, specifically focusing on complications like drainage, nerve pain, and insurance concerns. The person is facing unexpected side effects and is worried about the need for additional surgery, financial stability, and insurance coverage. Here are some insights and advice that might help:

1. The surgeon suspects a fistula infection, which is why they recommend a procedure involving cleaning the area, sewing it closed, and covering it with a membrane flap. This is why a plastic surgeon is involved, as they specialize in such reconstructive techniques.

2. Peripheral neuropathy, which includes burning and numbness, is a common side effect after certain chemotherapy treatments. The good news is that these symptoms often improve within about six months.

3. For bladder control issues, regular Kegel exercises can be beneficial. Try tightening your pelvic muscles for a count of three, then release. Aim to do sets of 50 several times a day to help improve control.

4. If you've had radiation therapy, it's important to be aware that it can cause vaginal stenosis or necrosis even months later. To prevent this, maintain sexual activity or use a dilator to keep the tissues open, smooth, and healthy.

5. Regular self-examinations of the genital area are recommended to check for any closure or scarring. This way, you can take early action if needed.

6. Financial concerns are understandably stressful, especially when facing potential insurance changes. If you're worried about losing your insurance and being forced onto COBRA, it might be helpful to reach out to a financial advisor or a social worker who can provide guidance on managing these challenges.