Intestinal Stomas are surgically constructed opening of part of intestine on the anterior abdominal wall aiming at decompression or diversion of normal intestinal passage due to wide range of diseases . Intestinal stomas can be classified into; temporary stomas to protect a distal anastomosis or a pouch, defunction distal diseased or injured bowel, relief an obstruction and protect anal operations e.g anal fistulas or sphincter repair while Permanent stomas are created after resection of bowel for benign disease, e.g proctocolectomy for Crohn’s disease, after resection of bowel for pre-malignant disease, e.g Familial adenomtous polyposis, after resection of bowel for malignant disease. A decompressing stoma does not necessarily provide diversion of feces. These stomas are constructed most often for distal obstructing lesions causing massive dilation of the proximal colon without ischemic necrosis, severe sigmoid diverticulitis with phlegmon, and for select patients with toxic megacolon, while diverting stoma is constructed to provide diversion of intestinal content. It is performed when the distal segment of bowel has been completely resected because of known or suspected perforation or obstruction of the distal bowel or because of destruction or infection of the distal colon, rectum, or anus. Continent perineal colostomy after APR can be constructed using many techniques including; Graciloplasty (single or double),Electrostimulated (dynamic) graciloplasty, Gluteoplasty with pudendal nerve anastomosis, Smooth muscle wrap, Artificial neosphincter implantation or Lazaro di Silva technique.