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I had Secondary Sigmoid Colon SRS with PAI

Started by SpiralCream, November 09, 2018, 11:23:54 AM

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SpiralCream

1. From what I've been told and what I've read, it varies greatly depending on the individual.  Right now I have about 3-4 bowel movements per day.  My poo looks normal, there is no blood, and there is no pain, so it doesn't bother me too much.

2. Minimum of 2 months.  Probably 3-4 months if you want to be safe.

3. What is your definition of "full overall recovery"?

4. It is true, to an extent.  You need to dilate the connection point (where the colon was stitched to the vagina).  Otherwise the area will become scarred and become hard.  But once you have dilated it and stretched it to maximum width to soften the tissue, you don't need to dilate it anymore other than to make sure your vaginal introitus and connection point are stretchy and wide enough.  There is no need to dilate to maintain depth, because the colon tissue itself will never shrink.
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Evolving Beauty

Spiral so you meant the vagina region or the new colon canal doesn't pain at all?  And it's only the belly where was cut is the real painful thing?
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SpiralCream

Correct.  After surgery, I had zero pain in my vagina region or the new colon canal.  It was only after I started dilating (after 1 week post-op) that I started to feel pain in my vagina - and the pain was localized to only the connection point.  The pain wasn't that bad either - it was much, much less than the pain I felt while dilating after my first SRS.  After my dilator got past the connection point, the pain subsided for the rest of my dilation session.  When I wasn't dilating, the pain was almost nothing.  Gradually, as the connection point became stretched and used to the dilator size, I did not have any pain at all.  I plan on going up one dilator size after 4 weeks on each previous size.  And I'm sure I will have some pain as the connection point adjusts to a larger dilator each time.  But then it will get stretched and the pain will probably go away again.  As I said, it is minor pain and not bad at all.

The main source of pain was from my belly, where the abdominal muscles were cut.  For the first 2 weeks, the pain was really awful.  Any time I tried to use those muscles (such as getting in bed, or getting out of bed, or sneezing, or coughing, it was really, really painful).  I had to be very gentle and take my time to get out of bed, rolling to my side, and slowly putting my feet first on the ground, without bending my stomach.  It was difficult.  Sneezing and coughing was also super painful.  Dr Burin told me to hold my stomach still with my hands while sneezing and coughing to help reduce movement and help reduce pain.  Sitting and walking did not hurt much, but I could not stand up straight because of my abdominal muscles.  I walked with a hunched back for a while.

After 2 weeks, things got much better.  I still had belly pain, but it wasn't quite so debilitating.  After 3 weeks, the pain was almost gone.  And after 4 weeks, I had no more abdominal pain while moving.  The recovery from this surgery has been much quicker than the recovery from my first SRS, in terms of pain.
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Evolving Beauty

What about the scars in the vaginal region,  will they cut it again where the same previous incision of Chettawutt? I'm scared of vaginal scars
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M. Sharon

Hi cream, next month on this day I am having my secondary colon srs and BA with Dr.Sutin PAI. I rent a condo room sub-lane behind PAI named park 19 residence. I will be there 35 days post operative including 1 week hospital stay. so 5 weeks of post period in total. My room got kitchen and congee will be cooked myself after 2 weeks post op and I am going to setting the scene based on your experience such as putting n getting ready my medical stuffs, clothes, electric and electronic devices to get ready in my bed to minimize utmost stomach movement for first week after discharged hospital. On different note, I have sagging skin at my tummy from my recent big weight loss (from BMI 29 to 21) that healing time at incision area may take longer than you did due to little fat deposit around in that part. I think you don't have any of this fat on your tummy, didn't you. It is external skin that sagging abit and have to go for mini tummy tuck after 6 months. Now everything seems to be ok to go for it after mentally prepared from your accounts. I can't be thanking you enough for sharing each micro single important thingsyou had from your colon srs and BA. But please don't forget to share after your first intercourse either LoL. Loves, M.sharon
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SpiralCream

Quote from: Evolving Beauty on December 26, 2018, 03:14:24 AM
What about the scars in the vaginal region,  will they cut it again where the same previous incision of Chettawutt? I'm scared of vaginal scars

As I mentioned earlier, there are no new scars in my vaginal region.

Again, a quick summary of the procedure:

  • incision is made in the lower belly (C-section scar)
  • via this incision, a segment of sigmoid colon is cut, and the remaining colon is re-connected
  • the cut segment of sigmoid colon is pulled downward (while still inside the body) into the vaginal area
  • via the existing vaginal opening, old and damaged vaginal canal tissue is removed
  • the bottom part of sigmoid colon segment is stitched to the remaining healthy vaginal canal.  The top part of sigmoid colon segment is stitched shut (forming the deepest part of the vagina)

If you can visualize this, you can understand why there are no scars, other than the abdominal (c-section) scar.
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SpiralCream

Quote from: M. Sharon on December 27, 2018, 12:58:09 PM
Hi cream, next month on this day I am having my secondary colon srs and BA with Dr.Sutin PAI. I rent a condo room sub-lane behind PAI named park 19 residence. I will be there 35 days post operative including 1 week hospital stay. so 5 weeks of post period in total. My room got kitchen and congee will be cooked myself after 2 weeks post op and I am going to setting the scene based on your experience such as putting n getting ready my medical stuffs, clothes, electric and electronic devices to get ready in my bed to minimize utmost stomach movement for first week after discharged hospital. On different note, I have sagging skin at my tummy from my recent big weight loss (from BMI 29 to 21) that healing time at incision area may take longer than you did due to little fat deposit around in that part. I think you don't have any of this fat on your tummy, didn't you. It is external skin that sagging abit and have to go for mini tummy tuck after 6 months. Now everything seems to be ok to go for it after mentally prepared from your accounts. I can't be thanking you enough for sharing each micro single important thingsyou had from your colon srs and BA. But please don't forget to share after your first intercourse either LoL. Loves, M.sharon

Be sure to bring some short-sleeve, loose, comfortable, button-up shirts to wear while you are recovering from your breast augmentation.  Button-up shirts will be easier to put on and take off, since regular t-shirts will be difficult to put on and take off over your head.  Also don't put anything on the top shelf in your hotel room.  It will be difficult to reach for things in high places while you are recovering from BA surgery.

Buy some anti-bacterial soap and bring it with you to Thailand.  The night before your surgery, take a shower and wash your entire body and hair with the anti-bacterial soap.  I did this myself, and I feel like this is a good extra precaution to take to further reduce the risk of intra-abdominal infection during surgery.  Wear freshly cleaned clothes when you go to the hospital.

If you are traveling alone like I did, and if you can afford it, do not check out of your hotel during your 7 days at the hospital.  It will cost more, but it is worth the convenience of not having to pack and unpack your luggage.  Especially after surgery, you will be physically very weak, painful to move around due to abdominal muscles, and it will be difficult to have any energy to unpack, go shopping for supplies, or do anything else except rest.  It is better to buy all your supplies, drinks, and food before surgery, store them in your hotel room, then leave it there while you have your surgery.  Then when you come back to your hotel room after surgery, all your supplies will be there and you can just rest, instead of having to worry about going shopping when you are so tired and weak and in pain.  If you travel with a friend, this is less of a problem since your friend can go shopping for you.

During your recovery in the hospital, bring your cell phone and charger.  Also bring an extension cable for your phone charger, so you can keep using it while it is plugged in from the far-away wall outlet.  There is a TV in the hospital room, but it is mostly Thai language with a few boring English-speaking channels that I never watched.  All of my entertainment was through my phone.  I also used my phone to text and chat with friends at home, to keep from being lonely... 7 days is a long time to spend in a hospital room, especially if you go alone like I did.  If after 5-6 days of recovery, you feel like you need more than 7 days in the hospital, don't be afraid to ask to extend your stay.  I stayed one more day (8 days total) and it was well worth the extra cost.  Oh, I also brought my iPad to my hospital room, but I never used it.  I was so weak and in so much pain and I could barely move, that even my new iPad (that I bought 1 month before surgery) was too heavy for me.  So a laptop would probably be too heavy too.  You may only have enough strength to use a cell phone at the hospital.  The hospital has good reliable WiFi.

You will use a lot of toilet paper after sigmoid colon SRS, while your bowels are recovering.  You may want to prepare beforehand and buy more softer toilet paper than the hotel provides, for your comfort.  Also buy a lot of thick maxi pads, in case you get a lot of heavy blood clot discharge, like I did.  Buy lots of bottled drinking water, apple juice, and grape juice before surgery, so you can drink it in your hotel room while recovering.  You will need to drink a lot of water and juice to replenish your body from all the bowel movements post-op.

Congratulations on your recent weight loss!  Lucky for me, I was never overweight and had a flat stomach before my surgery.  So I don't know how your sagging skin at your tummy will affect your recovery.  I recommend you ask Dr Sutin about it during your pre-surgery consultation.  It will probably be ok.

Good luck with your surgery and let us know how it goes!!  You are in good hands with PAI.

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AnonyMs

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M. Sharon

@spiralcream I will also be alone there as you did. So I will certainly prepare based on your advice and what you've experienced lately. Jessie never wanted me to stay even a few blocks away from PAI to void possible inconvenience visiting PAI in case there are some urgent things come up with my post op such as bleeding or open wound etc. So I rent a condo residence that's only 5 min walk to PAI.

One more thing, Shall I buy some full C cup bra now to wear first 3 weeks post op before able to walk n shop around? I think it sounds a little silly blind purchasing to get it inhand while i can't figure out how big n what shape my boobs gonna be. haha. Or was it worth to get these ready beforehand? I can't wait to get such sexy big boobs as it's exactly one month away and thinking of it always make me feels warm inside. Mine will be 450cc and I chose Smooth surface Silicon gel round gummy bear made of Mentor manufacturer If i am not wrong. How was the level of pain in boobs post op? You did not mention much about pain in chest that I assume it must be quite well tolerable or very less enough not to mention for As A Pain. Is it? Well I now have more thorough facts to handle my colon srs & BA best from your smooth surgeries and of course I will get back with mine as soon as I am ready. Thanks a heap for letting me know with all updates and post operative priceless info. Kiss, M.Sharon.
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SpiralCream

Quote from: AnonyMs on December 28, 2018, 04:21:03 AM
What did the extra day in hospital cost?

From a post I made earlier, on the first page of this thread:

Quote from: SpiralCream on November 11, 2018, 09:35:56 PM
I was scheduled to be discharged from the hospital after 7 days, but I told them that I didn't feel strong enough to go to my hotel yet.  I came to Bangkok for this surgery by myself.  If I had a friend or family traveling with me to help me at my hotel, then maybe it would have been ok to be discharged at that time.  But since I was alone, I didn't feel I had the strength to take care of myself yet.  So I asked to stay another day in the hospital.  And maybe another day after that, and so on, until I felt well enough.  I told this to Dr Burin during his daily visit to my hospital room, and he told Bune (one of the patient coordinators at PAI; he is so friendly and helpful!).  Bune called me to let me know he would make all the arrangements with the hospital.  I didn't have to do any of the logistics myself.  In the end, I ended up only needing one more day, but it made a big difference for me.  I did have to pay money directly to the hospital for the extra day though.  It was about $300-$350 USD for the room, food, medication, and nurses for that extended stay.  Well worth the cost.  I travel with a credit card that has no foreign transaction fee, for unexpected expenses such as this.
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SpiralCream

Quote from: M. Sharon on December 28, 2018, 12:40:22 PM
@spiralcream I will also be alone there as you did. So I will certainly prepare based on your advice and what you've experienced lately. Jessie never wanted me to stay even a few blocks away from PAI to void possible inconvenience visiting PAI in case there are some urgent things come up with my post op such as bleeding or open wound etc. So I rent a condo residence that's only 5 min walk to PAI.

You made a wise decision to choose a hotel that is close to PAI.  My hotel (One One Bangkok Hotel) was also 5 min walk to PAI.  Even if nothing goes wrong during your recovery, it is peace of mind to know that PAI is very close to your hotel.  Especially if you are traveling alone to Thailand.

Quote from: M. Sharon on December 28, 2018, 12:40:22 PM
One more thing, Shall I buy some full C cup bra now to wear first 3 weeks post op before able to walk n shop around? I think it sounds a little silly blind purchasing to get it inhand while i can't figure out how big n what shape my boobs gonna be. haha. Or was it worth to get these ready beforehand?

Yes, you should buy several sports bras at home, before you travel to Thailand.  If you are going to choose 450 CC implants, you may want to also buy D cup sports bra and DD cup sports bras too.  Buy the bra style that has a zipper front closure - it will be easier to wear.

Quote from: M. Sharon on December 28, 2018, 12:40:22 PM
How was the level of pain in boobs post op? You did not mention much about pain in chest that I assume it must be quite well tolerable or very less enough not to mention for As A Pain. Is it?

The pain from my breast augmentation surgery was pretty bad for the first 2-3 days.  There is no doubt that it made my recovery more painful, as it added to my overall pain level.  But it was never as bad as the pain from my sigmoid colon surgery.  Compared to my FFS, or my first SRS, or my sigmoid colon SRS, the pain from my BA surgery was not bad in comparison.  The pain is also very temporary.  Most of the pain in your breasts will be gone by the time you are released from the hospital.
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M. Sharon

Thank you cream for all the advices and tips provided so detail. You in deed is a clear road map for me playing a role of glistening guiding star on this X'mas time. Of course you are gifted as a guiding star to me. Wishing you A Merry Christmas and a very happy New year 2019 dear !! Take a good rest and enjoy the holiday.  A Hug :-*  :-* M.Sharon
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M. Sharon

Hi Evolving beauty, I read in some others notes in which you are talking about type 3 forehead countering planning to go with Dr. Chett in Bangkok back in 2015. Have you had it with him? if so, could you please share how things went through with your results and experience. Thanks. Any other tips over type 3 forehead reconstruction? I live in Asia and travelling to Europe or States is a bit too far.
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SpiralCream

I'm about 2.5 months post-op.  Now that it's safe to do so, I decided to dilate deeper.  I was able to get to 6.5 inches very easily (the initial max depth from my first SRS was slightly less than 6.0 inches.  And the max depth later on became only about 3.5 inches after the granulation tissue damage).  I thought about going deeper than 6.5, but just to be on the safe side, I decided to stop there.  To me, there is no benefit to going deeper than that for now.  Maybe many months later after I've completely healed, I'll try for more just to see what the limit is.  But for now I just don't want to risk anything.  Besides, 6.5 inches should be more than enough for sex with most men (average penis length is 5.2 inches).  I also can't lose depth ever, so if I do happen to have sex with a man someday who has a penis even longer than 6.5 inches, I guess we'll find out then just how deep he can go, haha.

The discharge from my vagina is very minimal now.  I only change my maxi pads twice a day, and there's not even much on there.  I could definitely get by with just one maxi pad for the entire day, but I just feel like that wouldn't be as sanitary, so I change every 12 hours.  Dr Burin told me that the colon tissue will automatically generate more lubrication when stimulated by contact.  So during dilation (or sex) when something is inserted, it auto-lubricates.  But when there's nothing in there, lubrication is decreased.  I can confirm this, because I have very little discharge when not dilating.  But when I do dilate, some more mucus comes out on my dilators.  I also am finding that I need significantly less lube compared to before my sigmoid colon SRS (I do still need some lube for insertion, in order to lubricate my labia and vaginal introitus).

The smell isn't bad either.  It's hard to describe what it smells like because I doubt many of you have smelled colon mucus.  But it's not a rancid smell or anything like that.  To give you an idea... a cis woman's vaginal pH is between 3.5 and 4.5.  The pH in the colon is between 5.5 and 7.  So that's probably the pH range of my vagina?  I wonder if it will gradually change in the future because the tissue has been re-purposed, or if it will stay the same.  I guess I'll have to wait and see.

My bowel movements are slowly getting better.  No constipation and certainly no diarrhea.  I can manage 4-5 hours without using the bathroom.  So it's not too inconvenient.  But still it's not completely normal yet either.  I would eventually like to get to where I was before surgery, when I only had to poop once a day.  Maybe that will happen as the remaining parts of my colon continue to adjust.  It's only been 2.5 months since my surgery, and I suspect that this is the part of the recovery that takes the longest.
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M. Sharon

#94
Hi cream, It is always great to hear your latest recovery status. I am going Bangkok next tuestday and my surgery date will be on 29th. BA and secondary colon srs, the same jobs you have had there. One thing to my curious that if you ever had any pain inside the lower parts where colon was resection? Any bad feeling down there inside the bowel and it's segment reconstructed as vagina? Currently I am rather curious about internal pains such as colon surgical sites discomfort as most other things have been learned so detail from you. Thank you for keeping all occurrence updated which are extremely important for me as I'm gonna take the same boat you're rowing in. Loves,  :-*
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SpiralCream

hi M.Sharon, good luck with your upcoming surgery!

As for pain, most of the pain you will feel early on will be from the abdominal muscles near your abdominal incision site.

After you are discharged from the hospital, you will start to feel pain from your reconnected colon tissue.  When you are going poo, sometimes you will sense what feels like a stomach ache.  But the pain will not be from your stomach, but lower in your body.  The pain will be coming from the anastomosis point - the remaining parts of your colon that were reconnected to re-form your digestive tract.  As the poo travels through that anastomosis point, you will feel the pain increase, then go away.  I experienced this a number of times while I was recovering in Thailand, but not all the time.  Sometimes I would go poo and I wouldn't have any pain at all.  After I returned home, I had this pain again just two more times - once after I ate a lot of pizza for the first time, and again after I ate a lot of corned beef hash for the first time.

I also experienced pain when I dilated past the connection point - where the sigmoid colon tissue was grafted to my vaginal tissue.  The pain gradually decreased as I dilated more.  But this pain is pretty minor, and not nearly as painful as the other pains I experienced.

The worst pain is in the first week after surgery, while you are in the hospital.  But you will have morphine to help you get through it.  Even with morphine though, it is very painful.  Be ready for it.  After the first 2 weeks, the pain becomes much easier to deal with.
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M. Sharon

Hi cream, well noted and brace myself for upcoming surgeries. I will be able to easily assess what is going on with me in first post-op weeks particularly in dealing with pain, poo, dilation, blood, foods and bowel complications more accurately based on your experiences. Because of you I really feel peace in mind about my surgeries which are just around the corner as I have learned best from you. For instance, finding some trace of blood on nose of dilator after dilating can probably be determine as blood clot and supposed normal that need not to be too concerned overnight as you did it for your junior sisters like us.  Taking risk pushing dilators to deeper depth like 7" in that early days n finding blood can't simply think as blood clot I know. Such a clear road map you have paved and I know I can't thank you enough.
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LaLa_girl

M.Sharon - good luck with your upcoming surgery.  I am also planning secondary sigmoid srs with Dr Sutin soon. I look forward to hear your story and experience 🙂

Spiral - thank you so much for sharing ur experience!! I had my first SRS with Suporn in 2003. After 16 years, I lost 1/2 or 1/3 of my depth and needing an upgrade.  Ur story giving me so much hope for a secondary srs. ❤️
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SpiralCream

LaLa_girl, sorry to hear you lost depth after 16 years.  It seems that losing depth with a skin graft technique after many years is more common than I thought.
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LaLa_girl

Spiral - how's your scar doing? Are u able to exercise (weights or running) yet? Would it be possible to see a pic of your scar? I am most likely will have the secondary sigmoid srs with Dr Sutin in March.  I'm excited but also nervous.  Dr. Kamol confirmed he does laparoscopic technique that can give the same depth as open.. however, I couldn't find much information from other ppl experience so I don't want to take that chance.  PAI price also increases a lot from previous year....do you mind msg me about ur price?  Thx 😙
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