I had a full LAR (rectum, mesorectum and sigmoid) in January this year. After initial sever LARS, I am now managing pretty well just with the food I eat and how I eat it, like no drinking from 30 minutes before a meal to one hour after. I don't use meds nor psyllium husk. I have more frequent bowel movements than before surgery, but I'm pretty much having a normal life. My LAR was without ostomy, because they used a technique called a 2-step Turnbull-Cutait pull-through: LAR and pullthrough one day, cut the pulled through colon bit and coloanal anastomosis a week later, a total of two weeks in the hospital.