I was diagnosed with anal cancer in September of 2022. I had 6 weeks of radiation and chemo. I was not declared cancer free until September of 2023. The treatment continued to work for months after it was completed. During that time I suffered from fecal incontinence caused by the radiation. I spent my days either in the bathroom or looking for one. The pain from the radiation was intolerable at times. Doctors don’t tell you that the pelvic area is one of the most sensitive areas to tolerate radiation. I was left with no other option than to have a colostomy. My surgery was in October 2024. I cried my heart out when the doctors suggested it. Thinking it was the worst possible solution. Here I am almost 5 months later and I feel great! Yes, having a bag is life changing, but it has given me back my life! I am no longer tied to the bathroom. So to answer your question, not having a functioning anus is no big deal!