Hi All. I'm reaching out because I am going to undergo an elective hysterectomy soon as part of my gender confirmation surgery/transition. I am on testosterone 11 years and previously in 2001 had a one stage sub total colectomy with an isa (ileal sigmoid anastomosis) for familial polyposis at age 23, 17 years ago) I have a pouch attached at the sigmoid colon junction And I have my original rectum all 6 to 10 inches of it.
My questions or concerns are for someone who defacates as I do 10 or more times a day regardless of method of hysterectomy lapro, open or through the front should I ask if I'll also in addition to urinary catch have a indwelling rectal Foley at wake up after surgery? I'm worried I won't be able to get up to poop or poop myself during surgery. Also what are other people's experiences who are morbidly obese with Lapro hystos versus open if you were heavier because I am 230 and 5'7".
I'm looking for feedback from anyone who had a hysto post pouch and I understand a sigmoid anastomosis with a pouch and full rectum isn't the normal outcome after familial polyposis surgery.
Thanks for all feedback, support and/or insight.