This topic is about the concerns men might have regarding sexual and urinary functions after undergoing ostomy surgery. Here are some insights and advice shared by others who have been through similar experiences:

1. Sexual function can vary greatly:
- It's common to experience some level of sexual complications after surgery due to potential nerve damage in the pelvic area.
- While total loss of function is possible, many men experience partial recovery as nerves heal, which can take months or even years.
- One person shared that they regained about 50% of their previous function 15 years after surgery, which included pelvic radiation.
- Another individual reported no long-term sexual issues after an ileostomy once their overall health improved.
- Someone else lost sensation after complete rectal removal but found satisfaction using oral medications and sexual aids.
- A different person, six months after a total proctocolectomy for Crohn’s cancer, reported normal sexual function, with initial numbness resolving within months.

2. A specific issue to discuss with your surgeon is "retrograde ejaculation," where ejaculate flows backward into the bladder. This is common after pelvic surgery and is generally not harmful.

3. Urinary changes can also occur:
- Some men experience incomplete bladder emptying and increased frequency, especially after holding urine for a long time. Medications may not always resolve this.
- Another person experienced a temporary reduction in bladder capacity, which improved over time.

4. Recovery timeline and general expectations:
- The first few months after surgery can be challenging both physically and emotionally, but many men notice significant improvements by the six-month mark.
- Long-term outcomes can range from a full return to pre-surgery function to manageable ongoing issues. Patience and open communication with healthcare providers and partners are crucial.