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Hi. I am a gay man and I am trying to figure out if I can continue to have receptive anal sex since I had a left colectomy.

The surgical report states that the rectosigmoid was divided with one fire of the Echelon device. The report also says that an EEA anastomosis was performed between the rectum and the transverse colon. This surgery was needed due to colon cancer in the descending colon and diverticular disease in the sigmoid colon.

Can I ever have receptive anal sex again? If so, how long after surgery? Are there special precautions to take? Do I put the anastomosis at risk of perforation?

The original surgery plan was to just deal with the removal of the cancer, the surgeon did not know about the extent of the diverticular disease until he got in there. The part that was to be removed was the upper part of the descending colon, so I did not foresee a problem.

Thank you for your insight.
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Nico,
I am a strait woman so to be honest I cannot wrap my head around the concept (also I have had a total collectomy since 1979) but...and here goes...I had a very damaged anal sphincter...damanged to the point of total incontinence.
So...if you have already had colon disease, an anastamosis, bowel resection etc...you may not wish to put what is left at risk.
I have no experience with this stuff but I do have a relative experience with complications and I pray that you can find 'satisfaction' in a way that does not put your surgery and plumbing at risk.
Whatever happens, take it slow, use tons of lube and stop if you feel pain, tearing or have blood.
Good luck in finding your bliss
Sharon
Nico08-
I'm not familiar with your particular surgical changes, but, it could be pretty risky. When my surgeon (different surgical needs but ended up with a j-pouch) was going through his list of things that I needed to know after my surgery, I specifically remember him telling me no anal sex, or any other activity that would involve putting something in my new anatomy. I'd talk to your surgeon directly about that - if you can.

I was just going through my post history and came back onto this exchange.  Holy hell. I nearly hear my j-pouch scream in pain even at the very thought of anything entering my backside.  It may not be the same for everyone, but it seems I can even feel why my surgeon said not to have any anal entry, as it feels fragile, always mildly inflamed, and like my j-pouch could experience major damage with anyone coming in for a visit.  And the skin breakdown, occasional acid ass, and butt burn doesn't help the situation.  I wear ointment all day, every day to protect and heal my skin.  There's a big flashing neon do-not-enter sign on my door.  This is a huge consideration for you guys.  

A non-subject for k pouchers and end-ileo's with definitive closing but...

goodness gracious, I cannot imagine the possible pain or consequences to the pouch...very hard lifestyle choice...give up an important part of your love-life or risk an important part of your pouch (those anal sphincters are not eternal...and are an integral part of a healthy j pouch).

Sharon

Hey there! I know this thread is a bit old but I decided to create an account here to help anyone out there might be reading this and who is or went through the same thing i did.

 

So my J-Pouch completion was in June of 2013 and I met my first boyfriend on July that year. I always thought I would be a bottom so getting the surgery devastated me. So for the first year I always topped and at first even certain positions make your scars hurt. Along the way he started by inserting one finger, then two, and 1 year after my surgery I was able to bottom for the first time. Keep in mind tho, It was very slow and a few strokes. So for the next year, I bottomed in total 5 times, no more than 10 minutes, and nothing hard or even deeper than 4 inches. This is because I felt my scars hurting around the sphincter and slowly they started to disappear. (the funny part was that everytime after we tried it I felt a lot better going to the loo, and much easier too)

 

After the second year, my scars had almost fully healed and he could go a bit faster now, but still nothing rough or deeper, and it felt much better now that the scar wasn't in the way of feeling pleasure. I even felt him hit my g-spot for the first time in forever. In the period of six months we did it 4 times and it was much easier than the first two years. 

 

After 2.5 years, I don't feel the scar there anymore unless it gets irritated by what I eat, or if I go too much or eat too much. So I need to say that his dick is about 6 inches long and 5.3 inches thick in circumference, a bit thicker than average, and not too long. He now can insert it all the way and it actually feels good to have him inside me, it's almost a miracle in my eyes that I can do this after much heartbreak and suffering throughout these years. He is now my fiance and we live together and I honestly don't bottom much, probably once or twice a month, but I love actually doing it and feeling somewhat normal. 

 

So in conclusion, it is possible, completely, as long as you and your partner have patience and are willing to cooperate in this together. Just be aware that you should let your anus rest and treat it like it's made out of porcelain. 

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