Dr Pieter Swart

A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall. During this procedure, one end of the colon is diverted through an incision in the abdominal wall to create a stoma. A stoma is the opening in the skin where a pouch for collecting faeces is attached.

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Why would I need surgery?

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Colostomy surgery may be needed to treat several different diseases and conditions. These include: Birth defect, such as a blocked or missing anal opening, called an imperforate anus. Serious infection, such as diverticulitis, inflammation of little sacs on the colon.

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What does the surgery involve?

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On average the operation will take somewhere between 2 and 3 hours.  Depending on how quickly you recover and how well you adapt to managing your stoma bag you are likely to remain in hospital for anything between 5-10 days.

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What can I expect after my surgery?

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After a colostomy you can expect to feel better and stronger each day, but you may get tired quickly at first. Your belly may be sore, and you will probably need pain medicine for a week or two. Your stoma will be swollen at first.  You may also have a lot of gas pass into your colostomy bag in the weeks after surgery.  It is important to follow the instructions given to keep your colostomy area and bag clean.  Dr Swart will advise you when you will need to come in for consultation following your surgery.

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