Aneros with an ileostomy?

I'll try to be brief. I take issue with your physicians behavior. That is inappropriate.

You have several issues. First is whether the length of rectum remaining would safely accommodate any device. Too long of a probe could damage the stump which can be dangerous. Second is that with the operation you had usually the rectum, which is normally in direct contact with the prostate, has to be separated from the prostate to allow enough exposure to remove the required amount of colon and rectum. As you heal, the prostate is not likely in contact with the rectum any longer so you may not be able to get to it at all with a toy. Also, during the healing process scar tissue develops. This changes the flexibility and pliability of all of the structures in the pelvis so trying to "stretch" the rectum to the new location of the prostate can cause damage and be dangerous as well. ( think of it like putting your leg into satin PJ's vs starched blue jeans!) if you had radiation treatments this will be much worse. ( I don't know details here). Thirdly, the operation often can interrupt small nerves to the prostate, bladder and penis so sensation is of question too. If you're having problems getting erections or bladder control issues, there is a good chance you may have decreased sensation of the prostate as well. If not, you wouldn't know until you try as the nerve supply is complex in this area and has been surgically altered so good function in one area may not cross over to others.

About 90% of this could be answered by a capable physician with a digital rectal examination. Basically, if the doctor can't feel your prostate rectally, it is unlikely you will be able to get to it with a toy safely either. Also he or she can assess the depth of penetration you can tolerate. If he or she cant reach the end of the stump with his finger, you likely would have enough length to accommodate a helix safely. If you can't feel his finger on your prostate this gives you some input about sensation too.

Regardless, I wouldnt attempt to put anything in there larger than a suppository until someone has examined you properly and I recommend you share your plans to try this with the examining doctor as well. I assume your previous encounter was jaded by the personal opinions of your doctor and his or her fear of what i just mentioned above. Hopefully you can find someone else a little more understanding and less judgemental to help you.

Hope this helps you

Thank you immensely for the detailed response I really appreciate it. Thankfully I did not have to have any radiation as the need for surgery was a result of Crohn's. Thankfully as well there have been no adverse effects towards bladder control or any erectile dysfunction.

I will attempt to find a local doctor and request a prostate exam. I don't think the initial doctor had any bias against prostate stimulation but was pure ignorant and to lazy to consult other physicians. I later discovered that they were initially unaware as to the extent of what Crohn's actually is and had to look it up.

Thank you again for the incredible and helpful reply.

Your welcome and good luck. Sounds like you really need to find a new doc too.

I do, unfortunately the gastro doctors I have to choose from are very unqualified.

Sorry to hear of your condition. I have ulcerative colitis but am in full remission due to drugs and am quite healthy now. (I hope it lasts) Part of why I got in to all this was a fear that I might not get a chance to at some point.

I dont really know anything about it but have you heard of Urethral Sounding? I think people do it as a prostate stimulation technique. Can anyone else weigh in? Anyway look it up and be safe! (You have to be extremely careful about sterilization)

I had heard of urethral sounding but was unaware that it could potentially stimulate the prostate. After looking around yesterday I was able to find a local urology nurse that is kink friendly (have to love the that internet makes such a find possible). Going to go in for a visit tomorrow to see if I'll be able to use the Aneros. But regardless of the results I will look into the urethral sounding more.

Typically in Crohns surgery, there is no need for radical dissection techniques around the rectum and your still having good erectile function is evidence of that being the situation in your case as well. That is to say, I think you would have excellent contact between an Aneros positioned in your rectum and your prostate gland. Why not visit your doctor of choice and get a thorough digital rectal examination, which would entail your physician feeling as extensively and carefully as they could with their finger inserted as far as logistically possible to feel the entirely of the rectum that would be accessible to an examining finger. I think that if there were no problems or undue discomfort encountered in doing this that you could gently try using an Aneros. I'm sure there are others here that could specifically cite just how far the insertion length of various of the Aneros products go, but remember that what you would be concerned with in your case was the actual length from where the Aneros "rides" in your anus (not the bottom of the stem of the product as you're looking at it) to the tip.

I'm going to bet you could accommodate any of the commonly used products Aneros makes in your situation.

Okay, so I got out the ruler this morning upon showering and washing up my Helix-Syn after a fun and relaxing brief ride late bedtime last night just to be sure of the measurements as would relate to your situation. From where the Helix-Syn "rides" in my anus, it is exactly three inches to the tip of the Aneros. But you have to consider that that's three inches from precisely where the external anal verge is in relation to the stem of that Aneros model and so you have to take into account the almost one inch in length the average male anal canal is. Even if the anal canal were at a minimum length of 3/4 inch, that would mean the the Helix-Syn tip would be only 2 and 1/4 inches in the actual rectum. And when your surgeon said he left three inches of rectum there, that's rectum and not rectum plus anal canal, so you should be safe.

I would add that even when you're in the midst of a strong involuntary contraction and your rectum is sucking in the Aneros hard as it can (like when a prostate orgasm is coming on) it won't pull it inward hardly more than a quarter inch, so at most that makes the Aneros (the Helix-Syn at least) only 2 inches in the rectum proper.

On even another note, I would add that when the rectal pouch is oversewn in a case such as yours, this can't be done below the perineal reflection deep in the male pelvis (which is a deep, narrow hole in males and hard to work surgically in as opposed to the female pelvis, which the good Lord made wider for childbearing) and so there's about no way a rectal pouch left in a case such as yours could be less than three full inches of rectum proper, and as I said above, not counting the anal canal length.

Hope this might help you some, but I still suggest you have a good digital rectal exam and ask your examiner in some discreet way if they can determine, judging from the length of their index finger and how far they insert it to examine you, about how much length of rectal pouch they feel you have left. Of course, it's good medical care to have a digital rectal exam routinely, I'd suggest at least once a year.

I certainly wish you well in all regards and certainly in the control of your condition and I'm so sorry you've had to go through all this. A buddy of mine did and he's had such a fantastic attitude and spirit about it. Makes me ashamed of all the little things I complain of. Regards and blessings to you.