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You can't, not the way you did before your surgery. Having the rectum removed will require an ostomy. A permanent ostomy is required when disease, or its treatment, impairs normal intestinal function, or when the muscles that control the rectum do not work properly or require removal. The most common causes of these conditions are low rectal cancer and inflammatory bowel disease. Once your ostomy has been created, your surgeon or an enterostomal therapist or "ET nurse" (a nurse who specializes in ostomy care) will teach you to apply and wear a pouch called an ostomy appliance. The pouch is made of a special form of plastic which is held to the body with an adhesive skin barrier. Many sizes and styles of ostomy pouches are available. The pouch is disposable and is emptied or changed as needed. The system is quite secure; "accidents" are not common, and the pouches are odor-free. The frequency of your bowel movements will vary, depending on the type of ostomy you have, your diet, and your bowel habits prior to surgery. If the ostomy is a colostomy, irrigation techniques may be learned which allow for increased control over the timing of bowel movements.

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17y ago

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