Getting a bag.

Kenny H.
Kenny H. Member Posts: 502 Member
edited March 2014 in Colorectal Cancer #1
Saw surgeon yesterday and the Rad had shrunk tumor fairly well. How ever whats left is right on/near schrinter (spelling)muscle and could not all be removed. Decided a colostomy bag with removal of rectum would be best.
What could i expect on recovery time?
Any thoughts on location ect would help. Looking forward to not living near a toilet and living a better lifestyle.
Thanks for ANY input from u baggers out there.

Comments

  • Buzzard
    Buzzard Member Posts: 3,043 Member
    As it is..........
    I have inner spincter muscle, rectum gone with ostomy at my sigmoid. I suspect it will be the same for you...That most likely will assure clear margins and thats what you want.
    Recovery time...hard to say , depends on what you call recovery time...I was down for about 2 weeks before I tried to drive....bad mistake...Its gonna take about 6 weeks til full recovery if they sew up the backside as they did me. It will feel like a pair of socks have been sewn shut up there but nothing you can't handle. You will feel severe discomfort as you sit and it will be a long time before you can sit for any length of time. I still can only sit for an hour or two without getting up and stretching or walking or I hobble around like an old man for 5-10 minutes. Its been 2 years for me. The bag does free you up, but it will take some mental thought process to get use to it. another thought, as you delve into that region for surgery the percentage of ED becomes about 50% one way or the other. All of the nerve endings are there that create stimulation, erection, and ejaculation. That is another item that you will learn to deal with. Viagra, Cialis, or sometimes nothing does the trick but be aware that it is a very strong possibility that it may occur. Position for me is where I wear my slacks the ostomy is about 3" above the waistband. This enables you to wear jeans and also allows you to wear shirts with tails long enough to cover the bag. I have also taken the bottom of the bag and folded it over upwards to allow me to tuck my pants in. This works well also.
    Chances of......
    Infection at the site is about 5%...
    Stitches coming loose at rectum (because of radiation damage) 10%
    Loss of sexual libido and ability...50%
    Ability to keep you alive.................................................Priceless



    Good Luck to you and let me know out here or in private if you need any other info....Buzz
  • Lovekitties
    Lovekitties Member Posts: 3,364 Member
    Hi Kenny
    Sorry to hear you need the surgery, but after having colostomy since March, have found that it is not hard to live with.

    Make sure you get to see an Ostomy Nurse before surgery so she can mark the best location. Mine is below the belt line on the left and has not been a problem for clothes...course being female my clothing a bit different than yours...lol. Seriously, I wear jeans and slacks with shirt tail out with no problem.

    The Ostomy Nurse should be able to get you started about various types of supplies, etc. but don't hesitate to ask here if you have questions about any of it.

    Originally was to be in hospital about 7 days (I had total hyterectomy at the same time). Stay got extended because of a twisted bowel, but another visit to op room got that all fixed. Total stay was 16 days, but like I say...extenuating circumstances.

    After care as long as you are eating and drinking well and had no complications should go smoothly. 6 weeks for sure for driving. I gave up all pain meds after 1st week home. Hardest thing was sleeping because of my incision. Found sleeping in recliner was easiest for about 4 weeks.

    Let us know what questions you have as they come up. When do you expect to have your surgery? Keep us posted.

    Best wishes,

    Marie who loves kitties
  • coloCan
    coloCan Member Posts: 1,944 Member

    Hi Kenny
    Sorry to hear you need the surgery, but after having colostomy since March, have found that it is not hard to live with.

    Make sure you get to see an Ostomy Nurse before surgery so she can mark the best location. Mine is below the belt line on the left and has not been a problem for clothes...course being female my clothing a bit different than yours...lol. Seriously, I wear jeans and slacks with shirt tail out with no problem.

    The Ostomy Nurse should be able to get you started about various types of supplies, etc. but don't hesitate to ask here if you have questions about any of it.

    Originally was to be in hospital about 7 days (I had total hyterectomy at the same time). Stay got extended because of a twisted bowel, but another visit to op room got that all fixed. Total stay was 16 days, but like I say...extenuating circumstances.

    After care as long as you are eating and drinking well and had no complications should go smoothly. 6 weeks for sure for driving. I gave up all pain meds after 1st week home. Hardest thing was sleeping because of my incision. Found sleeping in recliner was easiest for about 4 weeks.

    Let us know what questions you have as they come up. When do you expect to have your surgery? Keep us posted.

    Best wishes,

    Marie who loves kitties

    Kenny, ask your surgeon if its all right for you to chew gum
    after operation as that might help in recovery,before they allow you solid food, based on what I had read after my own colostomy. Be prepared to have various drainage tubes (Jackson cups?from each inner thigh, for exampole)sticking out of you when you wake up. I spent 8 days instead of 5 in hospital cos of minor complication. They'll want you to get out of bed and walk abit and you'll think they're crazy but you need to do that to heal faster to get released to go home.Tomorrow is a year I've been living with a bag and LIVING is the key word-here----steve
  • karguy
    karguy Member Posts: 1,020 Member
    colosomy
    when I had my surgery the ostomy nurse marked it as far down as possible.Mine is below my waist so I can wear my shirt tucked in.Recovery time should be about 6 weeks,but my stitches on my rear tore loose,so it was about 4 1/2 months to complete recovery. it was about that long before I could drive because of the wound vac,and the tumor was attached to my tailbone,and other things,so I have no padding back there anymore,but I can drive for 2-3 hours before I have to stop and stretch.You will get used to it,and sometimes it's convenient.You will have no control over gas,farts,gas pills will help.you can learn to live with it,the main word is LIVING.Good luck.
  • Kenny H.
    Kenny H. Member Posts: 502 Member

    Hi Kenny
    Sorry to hear you need the surgery, but after having colostomy since March, have found that it is not hard to live with.

    Make sure you get to see an Ostomy Nurse before surgery so she can mark the best location. Mine is below the belt line on the left and has not been a problem for clothes...course being female my clothing a bit different than yours...lol. Seriously, I wear jeans and slacks with shirt tail out with no problem.

    The Ostomy Nurse should be able to get you started about various types of supplies, etc. but don't hesitate to ask here if you have questions about any of it.

    Originally was to be in hospital about 7 days (I had total hyterectomy at the same time). Stay got extended because of a twisted bowel, but another visit to op room got that all fixed. Total stay was 16 days, but like I say...extenuating circumstances.

    After care as long as you are eating and drinking well and had no complications should go smoothly. 6 weeks for sure for driving. I gave up all pain meds after 1st week home. Hardest thing was sleeping because of my incision. Found sleeping in recliner was easiest for about 4 weeks.

    Let us know what questions you have as they come up. When do you expect to have your surgery? Keep us posted.

    Best wishes,

    Marie who loves kitties

    Thanks for all the input
    Thanks for all the input everyone. Im learning more on this as I go along. Surgery not till the 15th Sept (see bag nurse the 9th)
    The more I read on the more I'll think Im going to like it compared to what im going thru now. (diapers, constant bathroom runs ect). Also some good info off UOAA board to.
    What is your opinions on disposable bag vs reuseable? seems this would be more convienent. Also what about the different sizes? Larger better?
    Thanks again.
  • John23
    John23 Member Posts: 2,122 Member
    Kenny -
    There's a ton of info here: UOAA

    As far as the location of a colostomy or ileostomy, there has always
    been a "4x4" rule.... Four inches to the side of the navel, and
    four inches below the waistline.

    That's the optimum spot for an ostomy, since it'll allow you to wear
    normal clothes in your normal style, and allow for easier maintenance
    of the appliance and ostomy.

    You should have some time with the surgeon to mark out the best
    spot for the ostomy well ahead of time. They often will let you stick
    an appliance to your side in the spot thought best, fill it with applesauce,
    or whatever, and let you spend a day with it. That insures you'll have
    the best spot for the new thing you're going to be living with.

    Make sure the surgeon is going to give you a stoma that protrudes
    between 3/4 to 1" out of the skin. This should be mandatory, since
    a decent "spout" is needed to allow the waste to enter the appliance,
    instead of getting under it due to a recessed stoma.

    Living with an ostomy is something that you can get used to fairly quickly,
    provided it's where it's best for you and formed in the proper manner.

    Recovery time depends on the patient..... If the stoma is placed
    in a poor area (fold of skin, on a scar, etc), and leakage is a problem,
    it can take a long time for the peristomal area to heal.

    Your system will work quicker, since the waste doesn't have as far to
    travel.... But a colostomate can better explain things with dealing with
    a colostomy specifically, than an ileostomate like me.... The appliances
    and application, etc, are the same, but frequency of discharge, diet,
    hydration, etc, is different.

    It will also depend on just how much colon was removed.......

    You would want the rectal sphincter muscle to remain, if at all
    possible! Those at the UOAA web site can provide more info
    regarding that. Look for a poster from the UK - "Terry".

    Good luck and better health!

    John
  • 462lt
    462lt Member Posts: 117
    karguy said:

    colosomy
    when I had my surgery the ostomy nurse marked it as far down as possible.Mine is below my waist so I can wear my shirt tucked in.Recovery time should be about 6 weeks,but my stitches on my rear tore loose,so it was about 4 1/2 months to complete recovery. it was about that long before I could drive because of the wound vac,and the tumor was attached to my tailbone,and other things,so I have no padding back there anymore,but I can drive for 2-3 hours before I have to stop and stretch.You will get used to it,and sometimes it's convenient.You will have no control over gas,farts,gas pills will help.you can learn to live with it,the main word is LIVING.Good luck.

    INfo
    Thanks to all for the info. I think you have a great attitude about colosomy. Trying to get use to the idea Myself in case not the best results from TAE. Laura
  • John23
    John23 Member Posts: 2,122 Member
    Kenny H. said:

    Thanks for all the input
    Thanks for all the input everyone. Im learning more on this as I go along. Surgery not till the 15th Sept (see bag nurse the 9th)
    The more I read on the more I'll think Im going to like it compared to what im going thru now. (diapers, constant bathroom runs ect). Also some good info off UOAA board to.
    What is your opinions on disposable bag vs reuseable? seems this would be more convienent. Also what about the different sizes? Larger better?
    Thanks again.

    disposable bag vs re useable


    I use a two-piece appliance. With a two-piece unit, you can leave
    the wafer stuck to your side and replace the pouch when needed.

    The wafer of the two piece is easier to put into place, since you
    can see clearly exactly where the stoma is fitting through the hole.

    Since I have an ileostomy, a re useable pouch makes more sense.
    I have to empty every 15-20 minutes, at times.

    With a colostomy, the reviews vary. The wimmin don't like to
    touch or smell anything, so taking off a pouch and dropping it
    into the waste is nicer. But they have these enormous pocketbooks
    that they can carry extra pouches and supplies in...

    Keep in mind, that if you wear a one-piece system, you'll have to
    go through the deal of re-gluing the thing to your side every time
    you change.

    With a two-piece system, at least you can just change the pouch.

    With a two-piece reusable, you're able to simply empty the thing,
    close it and move on; better for the busy guy, in my opinion....

    You -always- empty when it's no more than 1/3 full !!!

    Sizes? I use a large diameter wafer with a medium size pouch.
    That combination allows for less weight dragging down on
    the wafer, and allows the wafer to stay on longer.

    For what it's worth..... I use the Coloplast Assura series, with their
    "extended wear" wafer, and a Hollister Adapt ring between
    wafer and skin. I leave the wafer on for two to three weeks
    average, and change the pouch as needed.

    What was once a terrible nightmare for me, is now just another
    pain in the stoma.

    The UOAA archives are loaded with information, and a search
    there for any question one has, is usually found promptly.

    Good luck and happy pouching!

    John
  • Lovekitties
    Lovekitties Member Posts: 3,364 Member
    John23 said:

    disposable bag vs re useable


    I use a two-piece appliance. With a two-piece unit, you can leave
    the wafer stuck to your side and replace the pouch when needed.

    The wafer of the two piece is easier to put into place, since you
    can see clearly exactly where the stoma is fitting through the hole.

    Since I have an ileostomy, a re useable pouch makes more sense.
    I have to empty every 15-20 minutes, at times.

    With a colostomy, the reviews vary. The wimmin don't like to
    touch or smell anything, so taking off a pouch and dropping it
    into the waste is nicer. But they have these enormous pocketbooks
    that they can carry extra pouches and supplies in...

    Keep in mind, that if you wear a one-piece system, you'll have to
    go through the deal of re-gluing the thing to your side every time
    you change.

    With a two-piece system, at least you can just change the pouch.

    With a two-piece reusable, you're able to simply empty the thing,
    close it and move on; better for the busy guy, in my opinion....

    You -always- empty when it's no more than 1/3 full !!!

    Sizes? I use a large diameter wafer with a medium size pouch.
    That combination allows for less weight dragging down on
    the wafer, and allows the wafer to stay on longer.

    For what it's worth..... I use the Coloplast Assura series, with their
    "extended wear" wafer, and a Hollister Adapt ring between
    wafer and skin. I leave the wafer on for two to three weeks
    average, and change the pouch as needed.

    What was once a terrible nightmare for me, is now just another
    pain in the stoma.

    The UOAA archives are loaded with information, and a search
    there for any question one has, is usually found promptly.

    Good luck and happy pouching!

    John

    Awwwwww John
    " The wimmin don't like to
    touch or smell anything, so taking off a pouch and dropping it
    into the waste is nicer. But they have these enormous pocketbooks
    that they can carry extra pouches and supplies in... "

    Come on now...lol...who do you think has been diapering babies since time began? Until recent years women were the great majority. Changing a colostomy bag and wafer is easy stuff as compared to some diaper changes!

    Back to the important stuff...The question of drainable or one-use is often times best answered by your bowel habits before. If you determine the one-use is for you, you might want to keep some of the drainable on hand in case of a bout of diahrea. I prefer the drainable so that I can be "empty" before going out or going to bed. Just my personal choice.

    I agree with John about the two piece. Saves wear and tear on the skin to be able to leave the wafer on for extended periods.

    Good luck and remember you can keep trying products until you find what is right for you.

    Marie who loves kitties
  • tammy31269
    tammy31269 Member Posts: 22
    kenny h getting a new butt but on frontside
    hey im a 9yr.colonrectal survivor stage t3c with 2tumors began at age 30,now 41yrs.old. now of course you will be shocked about seeing your colon on your frontside it took me a week before i got the nerve to even look down there i was so scared, didnt want to face it. now it all depends on how well things go and if everything is ok you just have to poop in your bag before leaving out the hospital.. make sure your colon is working.but once at home you have to do things different until you get use to the new way of doing things, and at first on your bags if you mess some up and have to throw away a couple dont get mad because before you get the hang of changing the bag and no leaks or anything you will go through alot of bags, i did but by the mistakes comes finally you will master the routine. just keep your hole clean and yes you can take a shower without your bag only the shower not bath..keep in touch when you get a chance.. god bless good luck
  • tammy31269
    tammy31269 Member Posts: 22
    462lt said:

    INfo
    Thanks to all for the info. I think you have a great attitude about colosomy. Trying to get use to the idea Myself in case not the best results from TAE. Laura

    hey just wanting to ask a question for 462it
    hi im tammy im a 9yr.colonrectal survivor with colostomy bag, whats your story do you have a bag? i began my cancer at age 30, now 41yrs.old
  • taraHK
    taraHK Member Posts: 1,952 Member
    Good luck!
    Good luck. I got a permanent colostomy over 7 years ago. Some initial adjustment (psychological and practical issues) but these days it is a part of my life/routine and I hardly think about it.

    Meeting with the stoma nurse presurgical is critical -- he/she will help determine the best placement for the stoma. The nurse will also help you after the surgery. They sometimes have various samples of products. It is a good idea to try different products, until you find what works best for you.

    I use a one-piece, opaque, drainable pouch (Coloplast). Replacing the pouch takes about 5 seconds for me -- I don't use any additional products or devices. Peel off, wipe, stick on, done.

    I also do irrigation (most of the time). I don't know if this is an option for you. You might want to discuss with your stoma nurse. Involves about 1 hr a day but then no output between times. I was told I might not be able to do it because I had radiation presurgery. But, no problem.

    I think I was in the hospital about a week after my surgery. Full recovery takes a while -- as with any surgery -- and this IS major surgery. If possible, walk every day after surgery (even if a few gentle steps at first!). I think it really helps with recovery. I think I was in pretty good shape a month after surgery but probably not 100% for 3 mos.

    I've been able to do all the active things I like doing -- swimming, hiking.

    Good luck!

    Tara
  • Lori-S
    Lori-S Member Posts: 1,277 Member
    taraHK said:

    Good luck!
    Good luck. I got a permanent colostomy over 7 years ago. Some initial adjustment (psychological and practical issues) but these days it is a part of my life/routine and I hardly think about it.

    Meeting with the stoma nurse presurgical is critical -- he/she will help determine the best placement for the stoma. The nurse will also help you after the surgery. They sometimes have various samples of products. It is a good idea to try different products, until you find what works best for you.

    I use a one-piece, opaque, drainable pouch (Coloplast). Replacing the pouch takes about 5 seconds for me -- I don't use any additional products or devices. Peel off, wipe, stick on, done.

    I also do irrigation (most of the time). I don't know if this is an option for you. You might want to discuss with your stoma nurse. Involves about 1 hr a day but then no output between times. I was told I might not be able to do it because I had radiation presurgery. But, no problem.

    I think I was in the hospital about a week after my surgery. Full recovery takes a while -- as with any surgery -- and this IS major surgery. If possible, walk every day after surgery (even if a few gentle steps at first!). I think it really helps with recovery. I think I was in pretty good shape a month after surgery but probably not 100% for 3 mos.

    I've been able to do all the active things I like doing -- swimming, hiking.

    Good luck!

    Tara

    I'm with you
    Tara .... keep it simple. One piece peel and stick.
  • Kerry S
    Kerry S Member Posts: 606 Member
    Not as bad as I thought
    Not as bad as I thought

    Kenny I am still learning this bag crap and have had to take care of it for only 2 weeks on my own. I thought it was going to be a 10 for sucks in quality of life. Hell it’s only a 2 at this point.

    Mine is only a temp so the doc put it above my belt line. It’s out of the hair there and my skin is just right for it. They put me on Coloplast one piece bag.

    I have had some problems that are due to me screwing up. When they trained me I was still in stupid land from too much night night crap in me. I put one on that only lasted one day. When they train you see if your wife can be there also to back you up.

    I was also told it would take 6 weeks to recover. After 3 weeks I sure as hell believe them, but like all the hell we go thru it gets better every day. I still have no desire to get on the tractor or the mower. Don’t even want to think about it yet. I keep a towel rolled up in the car that I put under the seat belt to keep the belt from hitting right on it.

    Kerry
  • 462lt
    462lt Member Posts: 117

    hey just wanting to ask a question for 462it
    hi im tammy im a 9yr.colonrectal survivor with colostomy bag, whats your story do you have a bag? i began my cancer at age 30, now 41yrs.old

    Hi Tammy
    HI Tammy, Sorry I missed this question, no I don't have a bag, going for a trans anal excsion tomorrow. I am worried about results T2 tumor 1cm from anal verge tumor shrank from rad/chemo but didn't get complete response. I'm worried about margins. I just for some reason not able to wrap my head around the bag idea. I never realized I was such a baby! I guess I'll know more about my future tomorrow. So impressed 9 years you go girl. Laura
  • Kenny H.
    Kenny H. Member Posts: 502 Member
    Kerry S said:

    Not as bad as I thought
    Not as bad as I thought

    Kenny I am still learning this bag crap and have had to take care of it for only 2 weeks on my own. I thought it was going to be a 10 for sucks in quality of life. Hell it’s only a 2 at this point.

    Mine is only a temp so the doc put it above my belt line. It’s out of the hair there and my skin is just right for it. They put me on Coloplast one piece bag.

    I have had some problems that are due to me screwing up. When they trained me I was still in stupid land from too much night night crap in me. I put one on that only lasted one day. When they train you see if your wife can be there also to back you up.

    I was also told it would take 6 weeks to recover. After 3 weeks I sure as hell believe them, but like all the hell we go thru it gets better every day. I still have no desire to get on the tractor or the mower. Don’t even want to think about it yet. I keep a towel rolled up in the car that I put under the seat belt to keep the belt from hitting right on it.

    Kerry

    Got home yesterday. The bag
    Got home yesterday. The bag they installed is a one piece unit with no vent. Since Im on a mainly liquid diet Its all diarreah and some gas coming out. Most of the time this bag looks like a balloon. Do the the "breathable" bags vent well? Also what about the smell, do they really block it?

    Slowly getting the hang of it cleaning it myself ect. Like the clip lock over velcro.
  • Luv2lunch
    Luv2lunch Member Posts: 270
    Hi Kenny,
    My Mom was

    Hi Kenny,
    My Mom was diagnosed in March with the cancer. She then went through 6 weeks of constant chemo and radiation. On July 7th she had her surgery to close her rectal area and have a permanent colostomy. My Mom is 79 years old. She was 78 for her surgery. She had never been sick a day in her life before this. So this has all been really scary for us. We are still trying to find the right kind of bag to use. Everyone on this site has been so helpful to us with that.
    Mom spent about a week in the hospital after the surgery. She has been living with me and my husband since. She thinks she is getting ready to move back to her house soon though. She is able to change her bag every day by herself, which is a really big thing for her. But she is handling it just fine. I help her change the wafer every 5 days or so, as her hands have gotten really shakey.
    I hope your surgery goes well. You will be in our thoughts and prayers.
    Sincerely,
    Linda and Mom Ellie
  • Annabelle41415
    Annabelle41415 Member Posts: 6,742 Member
    Ostomy
    First of all our group never called it a bag - sounds so harsh :) We call it an appliance or pouch. Really it is not as bad as you think it could be. I was petrified at first and afraid of what was going to be my new "normal." You will be fine. Make sure an ostomy nurse marks you before surgery - that is very important. Good luck.

    Kim
  • mike_in_ky
    mike_in_ky Member Posts: 8
    Kenny H. said:

    Got home yesterday. The bag
    Got home yesterday. The bag they installed is a one piece unit with no vent. Since Im on a mainly liquid diet Its all diarreah and some gas coming out. Most of the time this bag looks like a balloon. Do the the "breathable" bags vent well? Also what about the smell, do they really block it?

    Slowly getting the hang of it cleaning it myself ect. Like the clip lock over velcro.

    Good luck.
    Kenny: You will get the hang of it in no time. It took me about 4 weeks to really feel like doing much after surgery. Just remember how much money we are all saving on toliet paper...lol. Keep you spirits up. It is not as bad as you think after awhile. good luck. Mike