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Dec 12, 2018

Prolapsed Stoma: How Long to Wait Before Shortening?

This topic is about dealing with a prolapsed stoma and deciding when or if it should be surgically shortened. A prolapsed stoma is when the stoma extends more than usual, which can be concerning and uncomfortable. Here are some insights and advice shared by others who have faced similar situations:

- There is no universal waiting period for deciding on surgery. The timing should be personalized and discussed with a colorectal specialist.

- Some people have shared their experiences:
1. One person had a loop colostomy that prolapsed and waited about six months before having it revised during a conversion to an end colostomy.
2. Another person found their prolapse manageable and sometimes beneficial, using a homemade hernia belt to temporarily reduce it.

- Support options can help manage a prolapsed stoma:
1. Homemade or commercial hernia/support belts can help keep the bowel in place when there is minimal output.
2. Larger-capacity pouches can accommodate the increased length and output of a prolapsed stoma.

- Considering irrigation might help by creating longer periods without output, making temporary reduction easier. However, it is not suitable for everyone.

- Ultimately, the decision to adapt with belts, larger bags, or irrigation, or to opt for surgical shortening, should be made by the individual with guidance from medical professionals.
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