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.