Stoma reversal

A stoma reversal (also called an ostomy reversal) is an operation that reconnects the bowel and closes the stoma, so stool can pass out of the anus again and a pouch is no longer needed (Cleveland Clinic). It applies to stomas that were always meant to be temporary, such as a loop colostomy or loop ileostomy made while the bowel heals (NHS: Colostomy).

When it can happen

Reversal is usually considered after the bowel has healed, commonly three to 12 months after the first operation. The wait gives the join in the bowel time to settle, and if the original surgery was for cancer, further treatment can move the timing (Cleveland Clinic).

Not everyone is a candidate

A reversal is only possible when a few things line up: the bowel surgery has healed completely with no leak where the bowel is rejoined, and the anal nerves and muscles still work well enough to control bowel movements (Cleveland Clinic). Whether reversal is right for you is a decision for your surgical team, based on why the stoma was made and how you have recovered.

What to expect afterward

The bowel often needs time to find its rhythm again. Diarrhoea is common after a reversal, and some people have constipation, urgency, or the need to empty the bowel more often, sometimes for a while (Cleveland Clinic). A stoma care nurse can offer practical support, from diet advice to muscle-training exercises, to help your bowel control settle.