Topic Explanation:
The discussion revolves around an individual scheduled for an abdominoperineal resection (APR) surgery, who already has an ileostomy from a previous surgery. The person is seeking advice and insights on how to handle the changes post-surgery, particularly concerning the effects on sexuality and overall lifestyle adjustments. APR involves the removal of the rectum, anus, and surrounding lymph nodes, often resulting in what is colloquially known as a "barbie butt," where the anus is sewn shut.

Advice and Insights from Replies:
1. Sexuality and Lifestyle Adjustments:
- Post-APR, if you are not engaged in anal sexual activities, the impact on your sex life should be minimal. Recovery from APR might be quicker compared to the initial ileostomy surgery. It's important to maintain confidence and not let the physical changes define your self-worth.

2. Emotional Support and Recovery:
- The emotional journey post-surgery can be challenging. It's crucial to take things one step at a time and allow yourself to heal both physically and emotionally. The physical aspects tend to heal within a few months, but the emotional recovery may take longer. Engaging with a supportive community, whether online or in person, can be beneficial.

3. Sharing Experiences and Updates:
- Sharing your recovery progress and experiences post-surgery can provide support and valuable information to others who might be undergoing similar procedures. It also helps in receiving encouragement and advice from those who have been through similar experiences.

4. Permanent Changes:
- Understanding that the ileostomy and changes from APR are permanent can help in mentally preparing for life post-surgery. It's important to acknowledge these changes and adapt lifestyle and expectations accordingly.