I have had a couple of pre op dates through and we are definitely working towards my pouch surgery being in April. On 26th March I have to go in for a test of the muscles in my arse (nice!) and I have my pre op date for 9th April (Happy birthday Timm!)
The first test is called Anorectal Manotmetry, it is a test used to assess how well the muscles and nerves in and around your rectum are working, so that doctors know they are strong enough to deal with the pouch surgery. I will also have an ultrasound.
Image from Colorectal Surgeons Sydney
The following information is from the NHS website.
“The test uses a device that looks like a small thermometer with a balloon attached to the end. This is inserted into your rectum and the balloon is inflated. It may feel unusual, but it is not uncomfortable or painful.
A machine is attached to the device, which measures pressure readings taken from the balloon.
During the test you will be asked to squeeze, relax and push your rectum muscles at certain times. You may also be asked to push the balloon out of your rectum in the same way that you push out a stool. The information is sent to the pressure-measuring machine, and gives an idea of how well your muscles are working.
The balloon can also be inflated to different sizes to determine when your rectum feels full. If the balloon is inflated to a relatively large size but you do not feel any sensation of fullness, it may mean there are problems with the nerves in your rectum.”
I am not looking forward to this test as you can imagine, but after ten years of Ulcerative Colitis I have had so many tests and doctors looking in my butt that little embarrasses me any more!
The next appointment is for my pre operative assessment where they go through consent and make sure Im informed, do blood tests and any other tests that need doing. Ill be screened for MRSA and they will just go through the information I need to know about when to go nil by mouth, when and where to come in to hospital etc. I am not sure what the time between pre op and surgery actually is, I had a google and some people say its days before and others say it could be a month or more. But my surgeon has said my op will be in April so we’ll just have to see.
And so that is where I am up to, everything is being booked and we are steaming ahead. Ill most probably have a pouch in the next month and to be honest I am terrified. But that is for another post as I can’t get those words out right now.