Tale of Two Ostomies

As cervical cancer survivors, our bodies undergo very traumatic changes. Chemotherapies. Radiation therapies. Hysterectomies. Biopsies. We also live with lasting side effects that continue to wreak havoc on our bodies and emotional well-being. 

Ten months after my cervical cancer diagnosis and radical hysterectomy, I faced an unfamiliar surgery — a pelvic exenteration. At this point, I didn’t feel like I had a choice. My cancer had metastasized and this was my only option. The choice was made for me.

A pelvic exenteration is the removal of the vagina (I opted for no vaginal reconstruction), bladder, urethra, rectum and part of the colon. I was left with a colostomy (I call Ethel) and a urostomy (I call Fred).

What is an ostomy?

Colostomy = An opening in the abdominal wall in which the end of the colon is brought through the opening to form a stoma. The stoma looks like the lining of your cheek. Unlike the anus, the stoma does not have a shut-off muscle so I cannot control when I go (or the sounds that emit from my stoma – and yes, it farts).

Urostomy (Ileal conduit) = Uses a section of the bowel, surgically removed from the digestive tract and repositioned to serve as a conduit for urine from the ureters to a stoma. One end of the conduit attaches to the ureters and the other end, in my case, to the second stoma.

I have bags that attach to appliances (adhesive patches with plastic ring openings) that collect my waste. In the ostomy world, I am a ‘double bagger’.

Getting used to foreign objects attached to your body where waste pours out of is challenging to say the least. It was downright overwhelming at first. I cried every time I had to change my appliances and bags, which was every other day in the beginning. I felt helpless and angry. But as I physically healed things started getting easier and my frustration level decreased. I learned the best time for changing my bags, I learned what foods did and didn’t work with my ostomies and I learned there’s a whole online community for ostomy support and care. 

I also decided that since I was still here I wasn’t going to let my ostomies or my cancer dictate how I was going to live my life. I slowly went back to doing the things I always loved: hiking, swimming, traveling and Jazzercising. Taking back parts of my life was empowering and I felt strong again. Being able to still be me, to do the things that made me feel “normal”, helped me accept my changed body.

Most days my ostomies are unremarkable, just another body part. But I am keenly aware that my cervical cancer took away parts that gave me my womanhood and that I now redefine what it means to be a woman, a true Cervivor and someone who lives for more sunny days.

There are other women in our Cervivor community who are living and thriving with ostomies. If you are facing an ostomy surgery please know that you are not alone and that you have resources. We are here for you. 

Carol is our Lead Cervivor Ambassador and manages our Cervivor Meet Up program. She lives in Northern California where she raised two amazing kids and hikes with her husband and their fur baby Ace. Carol & Cervivor have put together a helpful guide for those undergoing ostomy surgery. Click here to view.

Making the Most of a Recurrence

When you’ve heard the word recurrence as often as I have over the past five years, pausing life for cancer is not going to happen.

In 2011, I was diagnosed with Stage 1B cervical cancer. I underwent pre-surgery chemotherapy to shrink the 7 cm tumor on my cervix, a radical hysterectomy and because one cancerous lymph node was found during surgery, I had additional chemo treatments and 28 rounds of external pelvic radiation.

Ten months later my cancer recurred. A second surgery was needed — a pelvic exenteration. This surgery removed my bladder, colon and caused me to no longer have a ‘functioning’ vagina or rectum.

In 2013, I then heard the word metastasize when my cancer spread to my liver.

You know what word phrase I would prefer to hear? No evidence of disease (NED) or cancer-free. However, there is now a determination that comes with my recurrence. I am determined to keep moving forward.

My life goals have changed drastically. I am no longer motivated to climb the corporate ladder or amass great wealth or travel the world. I now strive to keep my inner joy and to always be present. This sounds simple enough, but with a recurrence, even the easy stuff can be challenging.

But I asked myself, how do I want to fill my days? Do I want to fill them with fear and anxiety? Or would I be happier focusing on the things that make me smile? I choose to surround myself with good, loving people who help me smile.

I’ve been back in chemotherapy several times and I even spent over a year NED. But I’m no stranger to cancer and chemo side effects, both physical and emotional. Some days are easier than others, but I’m kind of addicted to the sunrises and sunsets I take in each day, and I want more.

I have also found my advocacy voice and sharing my cancer story has become part of my life. Being able to reach someone, helps put my life in perspective. Today is more important then yesterday or tomorrow.

Follow Carol’s adventures on her blog, Cancer Avenger.