This topic is about a young person facing the possibility of rectal stump removal surgery and its potential impact on their ability to have children in the future. They are seeking advice and experiences from others who have undergone similar procedures. Here are some insights and advice shared by others:

1. It is possible to become pregnant after having the rectum or colon removed, although such pregnancies are often considered high-risk. For example, one person with a permanent ileostomy due to Crohn’s disease had their rectum and colon removed 29 years ago and successfully gave birth 25 years ago. The delivery was by emergency C-section due to complications, but both mother and baby were ultimately fine. It's worth noting that medical care for high-risk pregnancies has improved significantly since then.

2. Some individuals choose to delay rectal stump removal until after they have completed their families, provided their medical condition allows for it. For instance, a male member retained his rectal stump for 20 years, fathered two children, and only recently had the stump removed. His medical examinations showed no precancerous changes, indicating that immediate surgery might not be necessary if the stump is not causing symptoms.

3. Fertility concerns are relevant to both men and women, as pelvic surgery can impact reproductive organs in either sex. It is important to discuss personal risk factors and the urgency of the surgery with both colorectal and fertility specialists before making a decision.