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Is the anus sewn up with a permanent colostomy?

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Not always
This procedure is called a proctectomy also known as rectectomy.
It depends on the surgeon and where the diseased portion of the bowel was.
Some or all of the sphincter muscle may be removed. The sphincter muscle is located just above the closure of the anus, and is responsible for bowel control which is no longer needed with a permanent colostomy. When this muscle is removed, the surgeon usually creates a small pouch or pocket that appears from the outside to be a normal anus.

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First answer by Jadeacres. Last edit by Jadeacres. Contributor trust: 170 [recommend contributor]. Question popularity: 2 [recommend question]

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Is the anus sewn up with permanent colostomy?  Do ypu have your bum sewn up after a colostomy op?