Topic Explanation:
The forum topic is about a person, Kathy, who is seeking advice on dealing with fecal incontinence after having anal cancer and pelvic radiation. She had a Medtronic Interstim device with little improvement, then had an ostomy which resulted in complications and now she is considering a J-Pouch as suggested by her new GI doctor, but her current surgeon is against it.

Advice and Insights:
- Consider finding another colorectal surgeon if you are not comfortable with your current one.
- It's important to have a doctor you trust, so don't hesitate to change doctors if needed.
- Seek out a good doctor as many may not have sufficient knowledge in this field.
- Medication like Domperidone can help with slow bowel movements.
- Consider using Coloplast's convex barriers for a flush stoma.
- Research the BCIR operation at Palms of Pasadena in St. Petersburg, Florida, as it might be a specialized procedure that could be an alternative option.
- Consider looking into the possibility of having a BCIR at the Palms of Pasadena hospital in St. Petersburg, FL, if you have an ileostomy.
- Research the BCIR operation at Palms of Pasadena in St. Petersburg, Florida, as they are willing to provide information and help determine if the surgery is applicable for your situation.