I had my ileostomy reversed in October 2015 after previously having my large bowel removed when a nasty bout of ulcerative colitis attacked it.
Now, there are two types of ostomy reversal. One being J-pouch – where the rectum is removed and the small bowel carries out the role of the entire digestive system, and a straight pull-through, where your rectum is kept and your small bowel connected to it. I had the latter so I, therefore, cannot speak on behalf of those who had the J-pouch.
Of course, I can’t really speak on behalf of those who have had the same reversal as me either, as everyone is different. But for those who are currently contemplating the surgery, I know it’s always good to know how others got on with it. So, here’s my experience in the form of ten things those who are thinking about ileostomy reversal surgery should know.
1. It may not be the ‘life-saver’ you thought it was going to be.
When I had my ostomy I was suffering from horrendous amounts of leaks which would leave me with sore, red, raw peristomal skin. Nothing I tried could combat it, and it would often leave me having emotional breakdowns because of it. So, I assumed having a reversal surgery was going to be my saving grace. I was wrong. I have had lots of problems with my reversal, including painful fissures, the need for botox in the rectum and I am currently awaiting Bio-Feedback therapy because I can’t leave the house for more than three hours without desperately needing the toilet and being in horrendous amounts of pain.
2. It takes some getting used to.
You’re not going to wake up from the surgery and go to the toilet ‘normally’ again. At first, you’ll go non-stop and may even have accidents. But this is all just part of the process of your body getting used to being put back together again. It’s normal.
3. They will tell you that you’ll only use the toilet 2-3 times a day, but this may not be the case.
Surgeons will give you the best possible case scenario. While I’m sure many do use the toilet 2-3 times a day, on average I still go between 5-8 times a day a year on from my reversal.
4. If reversing from an ileostomy, you will not have ‘formed’ stool.
As the large bowel is what forms the stool, without it, you will not have a proper poo again. I know, it’s heartbreaking. But there are things you can eat and medication you can take to make it less watery.
5. The reversal surgery can decrease your chances of fertility.
Every time surgery is commenced on the stomach, it can reduce the chances of fertility in women. This is because the surgery may cause further adhesion and could prevent the sperm from reaching the egg. But, there are many women who have gone on to conceive after having had an ileostomy reversal – so you shouldn’t let it affect your decision too much.
6. You may have to rely on medication.
As previously stated, I currently cannot leave the house for longer than three hours without desperately needing the toilet. And when I do, I take medication to help me feel a bit more comfortable. In order to go out for a night without a toilet trip or two, you will likely need to have some Imodium with you – and possibly some extra meds to combat other pain too.
7. You don’t necessarily need to restrict your diet.
You shouldn’t be scared to try new foods just because of your reversal operation. Remember, like with your ostomy bag, it’s all trial and error.
8. The scars should heal quickly.
Your stoma scar heals fairly quickly and from the inside. My wound didn’t get closed up completely so that it could naturally heal from the inside out. It’s crazy how quickly the body heals itself.
9. Recovery may not be all it’s cracked up to be.
I was supposed to be in the hospital for just three days after my op, but my health deteriorated and I was there for 11 days. Granted I overcame it, but it was still a scary experience – made even scarier by the fact I wasn’t prepared for it and hadn’t been made aware of all possible outcomes.
10. Don’t push yourself.
I know you’ll want to head back to work and out with friends after your reversal, but don’t do it. Going back to work too early, facing long commutes and putting my body under pressure when I shouldn’t have has caused many setbacks in my recovery and have only prolonged it. Your body has just fought another major surgery, remember to give it a break.
I understand that this list is fairly negative – and it’s not all like that at all. There are many positives to having a reversal, but ones that your surgeon will have also discussed with you. Before having my reversal, I couldn’t find much information on the negatives of stoma reversal, and I know I would have appreciated some honesty in regards to them. Everyone is different, and everyone can cope with different things. But I feel it’s best to always be aware of how your body may be affected in the long run.