@sos2000 What part of your colon is affected?

Most of my colon is clean. I have a new pre-cancerous polyp around the same place of my rectum, close to the sphincter, where I already had one that was resected last December, with a biopsy indicated that there were positive edges/rims. Earlier this year, I had radiotherapy with light oral chemo I had to take on the days of the RT sessions. The new surgeon I consulted said that given the positive edges, I should have had a second surgery last December or January. I had and still have 0 lymph nodes affected according to the CAT scans and MRIs I have had throughout the year.

Now with the return of a pre-cancerous polyp and with a wide rectovaginal fistula close to the sphincter, the surgeon, the oncologist and a cancer investigator have all separately told me that the right thing to do is a two-stage Turnbull-Cutait pull-through with coloanal anastomosis. They all point out that we need to do something radical: resection of the rectum and mesorectum to take out the 25 or so lymphnodes of that area. At the same time, the sphincter is preserved and the anastomosis allows avoiding a colostomy.

After discussing this with my husband and reading about the intervention, I have agreed to that intervention. Given the holidays are coming and I want to travel before facing the post-op period and the whole adaptation due to the resection, I will have my surgery in late January or early February.