Hello all,
I used to be a frequent reader and poster here but as the years of survival added up and I dealt with other health challenges, I stepped away. But I’m back now as LARS has worsened over the years. I did a long course of pelvic floor physical therapy with biofeedback which helped - just not enough. I do think everyone should try it if only to help identify those who may have damaged nerves. My new surgeon (old one changed hospitals) did my most recent colonoscopy and my colonic j-pouch is of good size she said - actually stretched larger than she might have expected. So one reason I may have trouble fully evacuating - and this clustering - could be a mismatch of the size of the neorectum (about the size of a real rectum) and the small size of the remaining rectal stump to which it is attached(3cm I think she said).But we know for sure from the biofeedback that there is some kind of disconnect in the brain to bowel nerve signaling so I had the Step1 surgery for the InterStim sacral nerve neuromodulator. I’m doing the trial and so far it is about a 100% success on my bladder (urge and frequency ever since radiation) and on the bowels so far i’ve had improvement in evacuation and total number of bowel movements in a day. Also definite improvement so far in urgency.