@colleenyoung, I see that this discussion is under "Ostomy and J-Pouch but it does not belong to that category. The surgery precisely is made to avoid a temporary (or permanent) ostomy and/or a J-Pouch.

The Turnbull-Cutait (T-C) pull-through is a staged, sphincter-preserving, pull-through operation, often used for ultra-low rectal cancer, complex rectal fistulae (rectovaginal/rectourethral), or irradiated tissues to avoid a permanent colostomy and reduce anastomotic leaks. It is typically reserved for situations where standard low colorectal anastomosis is risky, such as in patients with chronic pelvic infection, extensive Crohn's disease, or failed prior surgeries.