The operation is probably very common in The Bay Area........
in the bikini area, too.
I will tell you a story. This is true. I have been to continueing medical education seminars which spend an entire day or two on 'gay bowel'. It was reported that one of the problems due to the homosexual 'assaulting' the rectum, often with foreign object, perforation was and is common. This, if high enough results in peritonitis and spillage of stool into the peritoneal cavity. The proceedure, which is life-saving, is called a Hartman Proceedure. That is amputation of the rectum. with a diversionary colostomy. Then you wait for 3-5 months, when all inflammatory processes abate, then go back in and reanastomose (hook-back up) the rectal mucous fistula to the take down decending colon.
Well, the homosexuals,it was reported, refused to have their colostomy reversed, even though it was available. One would think, if one did not have to live with the colostomy one would access reversal. Not so in the Bay area.
Yes, you can guess why. These people, it was reported, were having penile-colostomy relations.....and they liked it.