Understanding Colostomy:

What It Is and Why It’s Needed

care

What is a Colostomy?

A colostomy is a surgically created opening in the colon (large intestine) where a portion of the colon or rectum is removed, and the end or side of the colon is brought to the abdominal wall. This procedure can be temporary or permanent, depending on the condition being treated and the part of the colon involved.

Why Is a Colostomy Created?

Colostomies are performed to treat various disorders of the large intestine, such as cancer, obstruction, inflammatory bowel disease, ruptured diverticulum, ischemia, or traumatic injury. This surgery helps manage these conditions effectively and can be classified based on the location and duration of the colostomy.

Types of Colostomies: Temporary vs. Permanent

Temporary Colostomies: Temporary colostomies are designed to divert stool away from injured or diseased parts of the large intestine, allowing the area to heal. This is particularly important after removing the diseased colon or rectum and ensuring that the sewn bowel ends (anastomosis) heal properly.

Permanent Colostomies: Permanent colostomies are necessary when the distal bowel is completely removed or blocked, or when the disease is inoperable. In these cases, the colostomy provides a long-term solution for waste elimination.

Living with a Colostomy: What to Expect

Post-Surgery Functioning: After a colostomy, your intestines generally function as they did before, with a few exceptions:

The colon and rectum beyond the colostomy may be disconnected or removed.
The anus will no longer be used for stool exit but will still pass mucus occasionally, which is normal.

Common Experiences: Post-surgery, some individuals may feel urges and experience discharge from the anus. This discharge can include mucus, blood, and sometimes stool, which were present in the rectum during or before the operation. If the rectum remains after surgery, it will continue to produce mucus that can be passed harmlessly whenever there is an urge.