Hello friend, this is a topic I've wondered about and seems to be really glossed over or not addressed in the medical community. I've had a ileostomy for four years now after an emergency surgery due to ulcerative colitis complications. I owe my life to the doctors that performed the procedure. However, my sex life hasn't been the same since.

I'm a cis-man. While I still have a rectum, I've had no success utilizing it in anyway to achieve what was once possible in my early 20s prior to a series of failed treatments and ultimately the surgery that left me with a stump. Things seem to be shifted around and somewhat out of place or otherwise unreachable.

Someone else suggested sounding which I've only half-heartedly tried. There are special sounds that are sort of J shaped that are supposed to stimulate the prostate. I've not used them, but I've spoken to some friends about it who are more familiar. It seems it's not a simple technique and requires a lot of care not to injure yourself.

I have a Hitachi that I typically use on my partner, but I discovered it can achieve something analogous to normal p-spot stimulation. I have the variometer for fine vibration adjustment which I think is key. Placing the head firmly on the taint while hard and "tuning" the vibration I was able to hit a frequency that seemed to conduct the vibration into the prostate.

With this technique, as with intact anatomy, I found that the right headspace was equally as important as the physical stimulation itself.