Treatment
The patient was counselled extensively pre-operatively, over multiple
consultations with the Gynaecology Oncology, Urology and Colorectal
teams. The Cancer Specialist Nurse (CNS) played a central role in
supporting her through this process. The Stoma Nurses were also involved
as part of stoma planning. The risks and benefits of this surgery, the
extent of the surgery, and the option of doing nothing were explored.
Early and late surgical complications were discussed, and realistic
expectations were set regarding the recovery period, including the need
for permanent stomas. The patient was motivated to pursue surgical
management. She had a full Anaesthetic work-up prior to surgery. Her
diet, level of activity and psychological status were assessed as part
of the prehabilitation programme. She was encouraged to maintain a
healthy and active lifestyle before the operation.
The final surgical plan was agreed at a Surgical MDT with the
Gynaecology Oncology, Urology and Colorectal teams.