Turnbull-Cutait (T-C) procedure: Share your experiences

Posted by kenc @kenc, Oct 2, 2023

Had both my colon nand rectum removed. Please get a detailed post operation guidance, such as diet, will you require pelvic floor physical therapy, medications. I have been periodically on medications to relieve the pain and the rectal area pressure from time to time.

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verol65 | @verol65 | 2 days ago

In reply to @colleenyoung "@kenc @verol65 @masonfoxy, I pulled your past and current post about the Turnbull-Cutait (T-C) procedure into..." + (show)

@colleenyoung, thank you!

masonfoxy | @masonfoxy | 1 day ago

In reply to @verol65 "@colleenyoung, thank you!" + (show)

@verol65 Thank you

verol65 | @verol65 | 1 day ago

@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.

Colleen Young, Connect Director | @colleenyoung | 1 day ago

In reply to @verol65 "@colleenyoung, I see that this discussion is under "Ostomy and J-Pouch but it does not belong..." + (show)

@verol65, thank you. The discussion appears in 3 groups: Colorectal Cancer, Inflammatory Bowel Diseases, and Ostomy. I have removed it from the Ostomy group. I thought it might apply to the ostomy group for people looking for options. 🙂

Susan F, Volunteer Mentor | @susanf8 | 1 day ago

In reply to @verol65 "@colleenyoung, I see that this discussion is under "Ostomy and J-Pouch but it does not belong..." + (show)

@verol65 Is it considered an alternative to ostomy/j-pouch that might be considered by people who are having colorectal surgery?

Where else does it additionally fit? I think, while not the same surgery, some of the concerns may be the same as those who have had a section of colon removed and a temporary ostomy reversal.

I think it can be cross posted to multiple categories. @colleenyoung is that correct?

verol65 | @verol65 | 1 day ago

In reply to @susanf8 "@verol65 Is it considered an alternative to ostomy/j-pouch that might be considered by people who are..." + (show)

@susanf8 It is an alternative (not sufficiently considered) to ostomy/j-pouch for RECTAL surgery only, not for the resection of other parts of the colon, because, precisely, the rectum and the sygmoid are resected, a few centimeters of the colon are pulled through the anus, and a coloanal anastomosis is performed in a second surgery 5 to 7 days later. It constitutes a Low Anterior Resection (LAR) and leads to LARS (which varies in degree of severity depending on the individual). It is not an option for people having part of their ascendent, transversal or descendant colon resected.