This topic is about the challenges and concerns that can arise after a colostomy reversal, especially when most of the rectum has been removed. A colostomy reversal is a procedure to reconnect the bowel after a colostomy, but it can come with complications, particularly related to bowel urgency and control.

Here are some insights and advice shared by others who have experienced similar situations:

1. Loss of Rectal Capacity:
- When part or most of the rectum is removed, it can lead to constant urgency and frequent bathroom trips. Some people experience accidents even a year after the reversal.
- The rectum acts as a storage area for waste, so without it, staying close to a toilet becomes necessary.

2. Continence Recovery:
- Regaining bowel control can be a slow process, and the anal sphincter may take months to relearn control. Previous pelvic radiation can make recovery more challenging.

3. Quality of Life Considerations:
- Some people find they have a better quality of life with an ostomy pouch compared to dealing with unpredictable bowel control after a reversal. If continence does not improve, some consider returning to a stoma.

4. Age and Health Factors:
- Surgeons may advise against reversal for older or medically fragile patients due to the risks involved and the potential for poor bowel control.

5. Continence Aids:
- Those dealing with post-reversal accidents often use adult absorbent underwear, like Depends, to manage the situation.

6. Living with a Colostomy:
- Many people adapt well to life with a colostomy, managing occasional pouch leaks by ensuring a proper seal, and continue to enjoy normal activities and travel.