This topic is about exploring surgical options for creating a new anal sphincter after a proctocolectomy, which is a surgery where the entire colon, rectum, and anal sphincter are removed. The person discussing this topic currently has a permanent ostomy and is looking into possibilities for reversing it. Here are some key points and advice shared in the discussion:

- The individual is seeking a surgeon who can perform adhesiolysis, a procedure to remove abdominal adhesions that are causing ongoing issues.

- They are interested in advanced reconstructive options, such as dynamic graciloplasty or the construction of a neosphincter/artificial bowel sphincter, to potentially reverse the ostomy. They are aware that these procedures might still be experimental but are keen to explore them while they are young.

- The person is curious if anyone has undergone these procedures and what the outcomes were.

- After receiving some feedback, they express interest in learning about any other options beyond the two procedures mentioned and plan to continue their research.

- One member shared that, based on their research, artificial bowel sphincter surgery does not seem to be actively pursued in the United States at the moment. They referenced an article titled "Artificial Bowel Sphincter Treats Fecal Incontinence" for more information.