Your friend probably underwent an abdominoperineal resection (APR) or Miles operation, in which the anus is removed together with the distal rectum and proximal colon is sewn to the abdomen which is named as colostomy or stoma. In order to reverse this APR or Miles operation, dynamic graciloplasty or implant of an artificial bowel sphincter may be performed. First of all, your friend should consult her surgeon and take his advice for this surgery and then proceed with the appropriate surgeon. I personally do not perform surgery on stoma reversals of patients living abroad.

Korhan Taviloglu, MD
Profesor of Surgery
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