Sigmoid colon resection: What to expect for recovery?

Posted by virgo1952 @virgo1952, Dec 1, 2019

It’s been 4+weeks since my resection. Found a cancerous polyp during a routine screening. Some frustration over the lack of information given by the surgeon as to what to expect afterwards. Late 60’s so I know the healing will take time. Mostly, struggling with bowel urgency/frequency and experiencing stomach pain from gas (pretty sure) is three months s realistic time frame for returning to “normal”? I’ve seen some posts that talk about two years? No further treatment so I was lucky. If anyone has had this surgery and went through or is going through the healing process, I would love to hear from you. Just kind of out there.

Interested in more discussions like this? Go to the Colorectal Cancer Support Group.

Thank you for this post! It’s very helpful to read others stories and learn of their recovery. I had a Low Anterior Resection for rectal cancer (part of the sigmoid colon was removed as well) on June 10. Unfortunately I ended up with a temporary colostomy bag but I still have a lot of rectal pain/discomfort. I was hoping the temporary bag would prevent the symptoms of LARS and the issues from the resection,, however the surgeon said once the bag is reversed there’s a high likelihood I’ll still experience LARS.
I wish you all best and a speedy recovery! It’s a difficult process

REPLY

Hi
I had emergency sigmoid Operation in March. It is now July and I feel as though I haven’t improved very much. Still pain and sore and so tired. I am 66 .
Just found out I have a contained leak . I feel so down and scared.
Nothing has been explained to me . I am so pleased I have found this site.

REPLY

Good morning folks. My cancer journey started in May. Woke up one morning to bed soaked in blood from rectal bleeding*. Saw my PCP the same morning who got me into a GI Doctor 2 days later. Colonoscopy done 2 days later. Results of the colonoscopy: 6 polyps found; 5 removed; the 6th was too large (6cm) to completely remove. Polyp biopsies were negative much to the surprise of the GI Doc and myself*.

Referred to a Surgeon to perform an endoscopic submucosal dissection (ESD) to remove the 6cm polyp; happened on 1 July. After the ESD I was informed there was a small amount dysplasia on the removed polyp and a week later the Surgeon confirmed that it was cancer and referred me to a Surgeon #2.

Surgeon #2 immediately scheduled bloodwork and CT scan and 4 days later I met him. Bloodwork (CEA levels normal) and CT scan (cancer did not spread outside of colon) were good; Surgeon #2 answered all my questions and scheduled a robotic sigmoidectomy for 9 August.

The morning of my sigmoidectomy a Urologist showed up to let me know Surgeon #2 was being cautious and wanted stint(s) in parts of my bladder so Surgeon #2 didn’t accidentally cut them – sounded like a good idea. Surgery was around 4 hours. Woke up in recovery; was in moderate/severe pain and couldn’t feel any of my fingers. Hung out there for 3 hours. Moved to a room. The first night I was in a severe pain (meds did nothing); walking helped. The Urologist stopped by day #2 informed he found a tumor in my bladder; bioposy results in a week (sigh). Got feeling back in my left hand. I insisted on pain meds every 4 hours to stay ahead of my pain. Made sure to walk as much as I could. Drank lots of water. Didn’t eat much. Didn't sleep much. Released day #3.

At home I continued to take pain meds every 4 hours for a couple of days. Feeling in my right hand returned. Continued to walk and drink lots of water. Tried to sleep in a bed. Big no no. Ended up sleeping in a recliner for 5 days (ugh sleep). Surgeon #2 called me and told the biopsies were negative and no chemo required; woohoo!!!! Urologist called me and told me the bladder tumor was negative, but was skeptical and wants to see me in November; believe I have a cystoscopy in my future. Had random swelling in my right foot and Surgeon #2 wanted me to see a Podiatrist. Podiatrist said the swelling was unrelated to the sigmoidectomy, although I’m not convinced the swelling in my body just didn’t find other joints to bother. Was off the pain meds 8 days later.

5 weeks later. BMs are fleeting, laxatives required. Eating is iffy; learned the hard way to stay away from fatty, greasy, spicy, and rich foods & very limited dairy. Back to work full time. Doing moderate cardio and light weight lifting until Surgeon #2 gives me the go ahead to do more.

That’s my cancer journey to date. If it wasn’t for the initial bleeding, who knows how bad the cancer may have gotten in my colon / other organs. I’m 48 and probably wouldn’t have gotten a colonoscopy for 2 years. If it wasn’t for Surgeon #2 being overly cautious and having a Urologist around for my sigmoidectomy, the bladder tumor never would have been found. To say I’m lucky is an understatement.

Good luck to everyone dealing with any cancer. It’s a giant pile of suck. Find good doctors to guide your care and great friends to support you!

* The bleeding was from the 6cm polyp.
* I did ask the GI Doc if it was possible if there could be cancer on what was remaining of the 6cm polyp despite the biopsy of the parts that he cut off during the colonoscopy being negative, he said yes.

REPLY
@johnpug

Good morning folks. My cancer journey started in May. Woke up one morning to bed soaked in blood from rectal bleeding*. Saw my PCP the same morning who got me into a GI Doctor 2 days later. Colonoscopy done 2 days later. Results of the colonoscopy: 6 polyps found; 5 removed; the 6th was too large (6cm) to completely remove. Polyp biopsies were negative much to the surprise of the GI Doc and myself*.

Referred to a Surgeon to perform an endoscopic submucosal dissection (ESD) to remove the 6cm polyp; happened on 1 July. After the ESD I was informed there was a small amount dysplasia on the removed polyp and a week later the Surgeon confirmed that it was cancer and referred me to a Surgeon #2.

Surgeon #2 immediately scheduled bloodwork and CT scan and 4 days later I met him. Bloodwork (CEA levels normal) and CT scan (cancer did not spread outside of colon) were good; Surgeon #2 answered all my questions and scheduled a robotic sigmoidectomy for 9 August.

The morning of my sigmoidectomy a Urologist showed up to let me know Surgeon #2 was being cautious and wanted stint(s) in parts of my bladder so Surgeon #2 didn’t accidentally cut them – sounded like a good idea. Surgery was around 4 hours. Woke up in recovery; was in moderate/severe pain and couldn’t feel any of my fingers. Hung out there for 3 hours. Moved to a room. The first night I was in a severe pain (meds did nothing); walking helped. The Urologist stopped by day #2 informed he found a tumor in my bladder; bioposy results in a week (sigh). Got feeling back in my left hand. I insisted on pain meds every 4 hours to stay ahead of my pain. Made sure to walk as much as I could. Drank lots of water. Didn’t eat much. Didn't sleep much. Released day #3.

At home I continued to take pain meds every 4 hours for a couple of days. Feeling in my right hand returned. Continued to walk and drink lots of water. Tried to sleep in a bed. Big no no. Ended up sleeping in a recliner for 5 days (ugh sleep). Surgeon #2 called me and told the biopsies were negative and no chemo required; woohoo!!!! Urologist called me and told me the bladder tumor was negative, but was skeptical and wants to see me in November; believe I have a cystoscopy in my future. Had random swelling in my right foot and Surgeon #2 wanted me to see a Podiatrist. Podiatrist said the swelling was unrelated to the sigmoidectomy, although I’m not convinced the swelling in my body just didn’t find other joints to bother. Was off the pain meds 8 days later.

5 weeks later. BMs are fleeting, laxatives required. Eating is iffy; learned the hard way to stay away from fatty, greasy, spicy, and rich foods & very limited dairy. Back to work full time. Doing moderate cardio and light weight lifting until Surgeon #2 gives me the go ahead to do more.

That’s my cancer journey to date. If it wasn’t for the initial bleeding, who knows how bad the cancer may have gotten in my colon / other organs. I’m 48 and probably wouldn’t have gotten a colonoscopy for 2 years. If it wasn’t for Surgeon #2 being overly cautious and having a Urologist around for my sigmoidectomy, the bladder tumor never would have been found. To say I’m lucky is an understatement.

Good luck to everyone dealing with any cancer. It’s a giant pile of suck. Find good doctors to guide your care and great friends to support you!

* The bleeding was from the 6cm polyp.
* I did ask the GI Doc if it was possible if there could be cancer on what was remaining of the 6cm polyp despite the biopsy of the parts that he cut off during the colonoscopy being negative, he said yes.

Jump to this post

@johnpug, that certainly a story like no other I've heard. I'm so relieved to hear that your doctors were as attentive as they were to find the bladder tumor as well as deal with the polyps and colon cancer. I'm impressed to that you are a partner in your care, managing your pain, staying physically active and adjusting your diet as you learn.

Do you have access to an oncology dietician?

REPLY

Never heard of a oncology dietician...

REPLY
@johnpug

Never heard of a oncology dietician...

Jump to this post

John, ask about an oncology dietitian at your cancer center. They may have one. My dad was referred to one after his colon surgery. It was helpful.

REPLY
@johnpug

Good morning folks. My cancer journey started in May. Woke up one morning to bed soaked in blood from rectal bleeding*. Saw my PCP the same morning who got me into a GI Doctor 2 days later. Colonoscopy done 2 days later. Results of the colonoscopy: 6 polyps found; 5 removed; the 6th was too large (6cm) to completely remove. Polyp biopsies were negative much to the surprise of the GI Doc and myself*.

Referred to a Surgeon to perform an endoscopic submucosal dissection (ESD) to remove the 6cm polyp; happened on 1 July. After the ESD I was informed there was a small amount dysplasia on the removed polyp and a week later the Surgeon confirmed that it was cancer and referred me to a Surgeon #2.

Surgeon #2 immediately scheduled bloodwork and CT scan and 4 days later I met him. Bloodwork (CEA levels normal) and CT scan (cancer did not spread outside of colon) were good; Surgeon #2 answered all my questions and scheduled a robotic sigmoidectomy for 9 August.

The morning of my sigmoidectomy a Urologist showed up to let me know Surgeon #2 was being cautious and wanted stint(s) in parts of my bladder so Surgeon #2 didn’t accidentally cut them – sounded like a good idea. Surgery was around 4 hours. Woke up in recovery; was in moderate/severe pain and couldn’t feel any of my fingers. Hung out there for 3 hours. Moved to a room. The first night I was in a severe pain (meds did nothing); walking helped. The Urologist stopped by day #2 informed he found a tumor in my bladder; bioposy results in a week (sigh). Got feeling back in my left hand. I insisted on pain meds every 4 hours to stay ahead of my pain. Made sure to walk as much as I could. Drank lots of water. Didn’t eat much. Didn't sleep much. Released day #3.

At home I continued to take pain meds every 4 hours for a couple of days. Feeling in my right hand returned. Continued to walk and drink lots of water. Tried to sleep in a bed. Big no no. Ended up sleeping in a recliner for 5 days (ugh sleep). Surgeon #2 called me and told the biopsies were negative and no chemo required; woohoo!!!! Urologist called me and told me the bladder tumor was negative, but was skeptical and wants to see me in November; believe I have a cystoscopy in my future. Had random swelling in my right foot and Surgeon #2 wanted me to see a Podiatrist. Podiatrist said the swelling was unrelated to the sigmoidectomy, although I’m not convinced the swelling in my body just didn’t find other joints to bother. Was off the pain meds 8 days later.

5 weeks later. BMs are fleeting, laxatives required. Eating is iffy; learned the hard way to stay away from fatty, greasy, spicy, and rich foods & very limited dairy. Back to work full time. Doing moderate cardio and light weight lifting until Surgeon #2 gives me the go ahead to do more.

That’s my cancer journey to date. If it wasn’t for the initial bleeding, who knows how bad the cancer may have gotten in my colon / other organs. I’m 48 and probably wouldn’t have gotten a colonoscopy for 2 years. If it wasn’t for Surgeon #2 being overly cautious and having a Urologist around for my sigmoidectomy, the bladder tumor never would have been found. To say I’m lucky is an understatement.

Good luck to everyone dealing with any cancer. It’s a giant pile of suck. Find good doctors to guide your care and great friends to support you!

* The bleeding was from the 6cm polyp.
* I did ask the GI Doc if it was possible if there could be cancer on what was remaining of the 6cm polyp despite the biopsy of the parts that he cut off during the colonoscopy being negative, he said yes.

Jump to this post

How exactly did they find your tumor in your bladder? Was it when they went in to put the stents in your ureters for the surgery?

REPLY
@lisag03

I so agree. I know our doctors can’t tell us what we will end up like, but I wish I had known that I would never be the same. I know it isn’t possible, especially with a cancerous tumor, but it would calm my anxiety a lot to know that aches, discomfort, bloating and swelling are part of the journey. I also have developed multiple hernias that are quite uncomfortable. I won’t have them fixed unless it’s an emergency because several surgeons have said that is just inciting more scar tissue to form. I hope you find the answers!!

Jump to this post

What caused the hernias?

REPLY
@pjebp

How exactly did they find your tumor in your bladder? Was it when they went in to put the stents in your ureters for the surgery?

Jump to this post

Yes. I go back to the Urologist in 6 weeks and have a handful of questions for him.

Was wondering if other folks who had a robotic sigmoidectomy had a Urologist put stents in bladder parts as a precaution?

REPLY
@johnpug

Yes. I go back to the Urologist in 6 weeks and have a handful of questions for him.

Was wondering if other folks who had a robotic sigmoidectomy had a Urologist put stents in bladder parts as a precaution?

Jump to this post

I'm having a LAR October 4 and there will be uro-gynecologist there to put stents in my ureters.

REPLY
Please sign in or register to post a reply.