treatment for granulation tissue after hysterectomytreatment for granulation tissue after hysterectomy

My GYN used 3 applications of Silver Nitrate since he said it has gotten significantly bigger and will only treat me with SN one more time. This is just my experience. So 10+ years have gone by without anything getting check on down there. I also had 2 stitches taken out today that had not dissolved/come out 10 months post-op!! It seems this will create another wound that will have trouble healing, so I am off for a second opinion. After 6 weeks I tried intercourse and it was quite painful and I bled a lot. You might be better off not straining when you go to the loo. A hemorrhage may occur after a hysterectomy. What could this mean if it keeps coming back? Hemorrhaging is more likely to happen after laparoscopic surgery, though researchers are unsure as to why. Your doctor may prescribe a vaginal estrogen cream if youre postmenopausal in order to help encourage faster tissue healing. All this has calmed down but now 7 months on I am bleeding after intercourse. (2015). This doesnt involve an inpatient appointment and most women will return home the same day treatment takes place. Not to mention some depression knowing there is absolutely no way I could ever carry a child. What sort of emergency can happen? The gyno, who performed the hysterectomy, and the uro-gyno are in the same medical practice and I really think that they are in panic mode; afraid that I will sue. I went hom on the 24 walking up and down 1 flight of stairs on Christmas eve felt great. I am bleeding where the vault was attached to my pelvic ligaments (I think). Bleeding after a hysterectomy can sometimes be a symptom of a severe complication that needs prompt treatment. She has referred me to the gynaecologist. I am now having bright red blood, i feel bloated, and my stomach doesnt feel right. Nothing has changed: Constant spotting of blood and passage of tissue. This is known as closing the vaginal cuff. Your email address will not be published. I have to go back in 2 weeks also and the thought of going thru that again makes me want die. Wait 2 weeks to have sex and come back to see him for a follow up . An application of silver nitrate cauterizes the unwanted tissue. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Thank you so much. A pelvic hematoma is a pool of blood that accumulates outside the blood vessels in the pelvic area. Is the ketogenic diet right for autoimmune conditions? Please Note: The Hysterectomy Association Closed in 2019, this is an archive of the website. The scar tissue from hysterectomy granulation occurs before the vaginal cuff that is left after the cervix is removed, has healed properly and means that the cut takes longer to heal than normal. So, I now have two spots, just had them treated with silver nitrate and will wait and see. I had a hysterectomy leaving one ovarie may of 2013. Ouch! I had my hysterectomy in Feb and yesterday went back to the dr because I have not been feeling good. A few days ago I started spotting so I saw my GYN who said I had a bleeding granuloma and treated with silver nitrate. Conservative treatment of vaginal vault granulation tissue following total abdominal hysterectomy - Saropala - 1998 - International Journal of Gynecology & Obstetrics - Wiley Online Library Articles Conservative treatment of vaginal vault granulation tissue following total abdominal hysterectomy N Saropala, C Ingsirorat Although hemorrhages are a life threatening complication, they occur in very few people. It will not go away. Vaginal vault granulation tissue occurring after total abdominal hysterectomy is a common postoperative complication. My hysterectomy was 4.5 years ago and about 6 months ago I started spotting. nervous!" Answered by Dr. Myron Arlen: No odor: Silver nitrate does not produce an odor. (2012). I naively thought it would not be a big deal and wanted to take care of it so I wouldnt worry about having ovarian cancer. After laparoscopic cholecystectomy, a person can often go home the same day or the next day. Usually in cases of sudden bleeding with a history of prior hysterectomy, pathologic causes such as granulation tissue formation or malignancies such as cervical stump cancer must be excluded . Clinical presentations include vaginal discharge which may be bloody or postcoital bleeding. I just had this happen to me as well, Had me scared thinking I had cancer because she said it was a growth. By this time the stitches should have been absorbed and the cut at the top of the vagina should have healed. I experienced pain in my groin area and legs after the surgery, About 6 mos later, I had some spottingfinally saw my dr, she said I have granulationshe was ready to just pull it out and use the nitratethe day before vacation. Very painful but in the end I hope it takes card of it all! Since my tubes were tied and uterus was shot, we did a full hysterectomy. Hopefully this is the end of it! If someone experiences heavy, bright red bleeding, or if they need to change their sanitary pad more than once per hour, they should contact a doctor for advice. If there is anyone out there that has had the scar tissue removed like this, please could you tell me if this will be the end if it!! You must avoid any activity, such as lifting heavy objects, that does so. It was profuse to such an extent that she was showering three times a day and using disposable under-pads to protect her clothes from secretions. It is important to avoid certain activities for 6 weeks after a hysterectomy, including: Hysterectomy is a major surgery. It is thought that it occurs because internally the wound cant be kept dry and the moistness is what prevents healing from happening at the normal rate. I waited a while to see if it would go away on its on. I was so excited to stop hurting as I couldnt remember the last time I lived pain free. He says we may have to throw in the towel and take me to the OR. Hysterectomy Feb 2012 then spring 2013 started to have pain with intercourse and what I thought was a UTI. chronic conditions that cause pressure on the incision, such as coughing, feelings of pressure in the vaginal or lower pelvic region, feeling a large mass in the vaginal or lower pelvic region. Eight cases are reported, two with benign lesions and six with recurrent malignant lesions in the vaginal scar. (http://www.sciencedirect.com/science/article/pii/S002072929800054X). After the vaginal cuff has fully healed, your doctor will most likely give you the green light to resume your usual activities, including sex. Sorry for the bad news but.having these PAINFUL procedures done and its only going to come back and maybe even more tissue than before??? Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. I dont really want to contact hospital as i would prefer to leave it to clear up on its own without having any of the procedures you mention. Thanks and hope you feel better soon! Subtotal versus total hysterectomy. After open cholecystectomy, a person may . No sex drive. A person may need to temporarily use a urinary catheter to drain urine and a colostomy to collect stool. I am only 33really hope I dont have to do this again if it grows back?! on that. Hematomas may also occur in the vagina vault, which is the expanded region at the internal end of the vaginal canal. Omg I just found this out today is what I have been so frustrated my dr sent me to a urologist thinking I was leaking urine I keep telling them no its not. Theres all sorts of reasons it can happen and bad sutures are just one. A suture that hadnt dissolved was working itself out. Doctor thought it might be some granulation tissue and treated me with silver nitrate. 7. Thanks. Its possible intercourse can aggravate it if there is any still left. . Some people experience little or no bleeding immediately after the operation, and then around 10 days later, have a sudden rush of fluid or old blood. Now a year later Im having the same pain on my right side but planning on finding a different doctor to treat it this time. Apparently not. Ginger Tea Will Help with Post-Op Nausea Anesthesia triggers nausea for many people, but ginger tea will help. The uterus, also called the womb, is where a baby grows when someone is pregnant. I cant believe how bad it hurt. Things were OK for a while. So I fought with my OBgyn to just take it out. The dr seen me for less than 10 seconds after my sirgery he said You had fibroids and endometrosis too in there and that was it. Im still in process. Has anybody gone through this. In the initial days following surgery, a person can typically walk short distances and do light activity to prevent blood clots in the legs, pelvis, and lungs. Bleeding requiring transfusion (notify your doctor if you are taking aspirin, anti-inflammatory agents such as Ibuprofen or any herbal remedy such as glucosamine or fish oil) Wound infection Deep vein thrombosis Bladder injury Vascular injury Ureteric injury (connects kidney to bladder) Vault haematoma Urinary tract infection Said that the discharge should be gone within the next 7-10 days. That was a week ago and now I have an infection so I am on heavy antibiotics and pain tablets.feel rough! Ive just been a bit unlucky, mainly with out of hours GPs mis-diagnosing. "how long will there be any odor after silver nitrate treatment for granulation? All of my many other docs (gynos resident, who asked daily if gyno had been to see me yet and was always surprised at the answer, the chief of surgery, my bladder surgeon, the uro-gyno all visited me daily). My bleeding continues 10 months post op. Id like to know if Marys bleeding stopped after having her two stitches removed in the doctors office. Your doctor may prescribe a vaginal estrogen cream if you're postmenopausal in order to help encourage faster tissue healing. I didnt have the leakage/discharge that seemed to be incontinence. I had an abdominal hysterectomy In march 2013. I was in for all or part of 3 days. On Wednesday, September 16, 2015 after my husband and I had sex I noticed blood. Does granulation tissue need to be removed? FDA Approves Opill, the First Over-the-Counter Birth Control In the U.S. What Causes a Swollen Vulva and How Is It Treated? The nitrate or exam did not hurt but want to hear results so in case I experience anymore problems.Thanks!! Something is not normal down there and I dont know what it is. Recovery will take time and plenty of rest. Is this cause for concern. My lower stomach was so hard and swollen and I was having pains, sex was a lil painful and I bled after sex. Ive had similar experience. I went to the gyn over a month or two ago and he said I had granulated tissue around a suture that is still in place holding up my vaginal cuff. Though uncommon, there is a small chance that the vaginal cuff may tear after a hysterectomy. Ughjust ughI had my post op yesterday .prior to post op my bleeding was hardly at all .during the exam I like to of come up out of myself hurt extremely bad when the speculum was used and then the hand check in not healing well and stitches are still thereomg since the exam oh Ive felt like the speculum is still in me !!! My doctors that have been treating me after my hysterectomy stated that it WILL keep growing back!! A doctor may use an ultrasound or CT scan to diagnose a pelvic hematoma. These include: In addition to intravenous fluid hydration, those requiring this type of corrective surgery are typically given intravenous antibiotic therapy to treat or prevent infection. I had laparoscopic hysterectomy in Jan 2015. Had vaginal pack out but had to be re-packed for further bleeding. but just reading the prior post I am very doubtful! Last medically reviewed on November 13, 2017. I never quit bleeding post-op so I new something was wrong, I to ended up with the granulation tissue. It is normal to have some bleeding after a hysterectomy. These include: Having a hematoma may increase the chances of infection. But I am very crampy after the in-office procedure today. The results of our study suggests that if the lesions are small (< or = 5 mm) it would be reasonable to leave them alone as few give symptoms and most regressed spontaneously; saving the patients' time . He told me to come into his office and after the examination he confirmed the same diagnosis as many of you. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Do reading, puzzles, and similar activities really stave off dementia? It sounds like you have some serious issues with scar tissue and I guess its just going to take time for it all to be sorted out. Overall, it is described as a stinging sensation. Need Answers? When I went in he mentioned this shouldnt be happening this far after the surgery. Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639167/, https://www.researchgate.net/publication/287424622_Pelvic_hematomas_Types_and_management, https://www.rhgynob.com/for-patients/about-your-surgery/patient-instructions/, https://www.ejog.org/article/S0301-2115(16)30932-0/pdf, https://www.ijrcog.org/index.php/ijrcog/article/view/5175/3860, https://www.acog.org/patient-resources/faqs/special-procedures/hysterectomy, http://healthlibrary.brighamandwomens.org/Search/92,P07777, https://www.womenshealth.gov/a-z-topics/hysterectomy, https://www.brighamandwomens.org/obgyn/minimally-invasive-gynecologic-surgery/hysterectomy-options, https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/recovering-well/laparoscopic-hysterectomy.pdf, https://journals.sagepub.com/doi/10.1177/1745505717714657, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154399/, https://www.wjgnet.com/2307-8960/full/v2/i12/846.htm, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396054/. The nurse tried to insert a speculum but I screamed in pain, she managed to get a swab of the discharge though. All rights reserved. So dose Silver nitrate usually make that happen to you blood pressure, can someone answer that. He used silver nitrate to remove the tissue. If you have a partial tear with no complications, the surgery may be done through the vagina (transvaginal). It is best to contact a doctor if the incision is inflamed, oozing discharge, or bleeding, or if a person experiences abnormal bleeding after surgery. I had a divinci hysterectomy in Oct 2013, at 30 years old. My dr says we are gonna fix this before worrying about my stomach and back because he says this can cause a lot of different problems and this might fix everything. I am really upset all of these problems have occurred and have been advised to see another opinion, but its on me that I havent. I pray that it goes away and want to be positive. Delayed presentation of vaginal cuff dehiscence after robotic hysterectomy for gynecologic cancer: A case series and review of the literature. Uro-gyno said that she doesnt believe that it is a fistula and that it could not have happened as a result of the surgery. Last medically reviewed on April 23, 2020, A vaginal hysterectomy is the removal of the uterus through the vagina. Rarely, nearby abdominal organs, such as the bowel or bladder, can sustain damage during the procedure. Painful sex and is not the same fory partner. A partial hysterectomy removes the uterus, leaving the neck of the womb in place. They prescribed Diflucan more than once. Could it be endometriosis related? All they are giving me is NOTHING but injections to numb the site. Vaginal cuff recovery usually takes at least eight weeks, though it often takes longer. Im 48 but decided to have everything removed after genetic testing showed I have a gene that increases my risk of ovarian cancer. Healthline Media does not provide medical advice, diagnosis, or treatment. During my 6 week check up my GYN asked if I had any bleeding and I told him I was still spotting, but thought it was just healing. I finally went and had my abdomen, pelvic and trans vag ultra sound done, outside my body didnt hurt so much till she was pushing where my ovaries are, but the trans vag hurt the minute she slid it into me like I was bruised the whole inside of me was just bruised, when she got to the bottom, my cuff area I was crying very hard at this time, oh it hurt so bad and she was very very gentle. I think my gyno was running scared. Went in today for pelvic exam and she found this granular tissue. and just up walking taking care of buisness thats been put offIve had to change 8 padss today n I get horrid cramps that are coming n going oh n ugh I dont feel good from like my ribs to pelvic area and I feel like I get the chills on n off today is this all normal Ive called Dr . Vaginal cuff dehiscence in robotic-assisted total hysterectomy. But experts say only excision surgery can halt progression of the disease. The doc cleaned things up and used some medicine that seemed to alleviate the problem. If this does not solve the issue, he says he may bring me into the OR to cut out the granulation. To my surprise I have started bleeding again. How do you know if something is wrong after a hysterectomy? It could be cake for others. I am really worried as dont know what this could be. The results of our study suggests that if the lesions are small (5 mm) it would be reasonable to leave them alone as few give symptoms and most regressed spontaneously; saving the patients' time, inconvenience, expenses and discomfort. when my doc left the room, the nurses mentioned this is a hard to do process but the doctor is really good. Hypergranulation (also known as overgranulation) during the proliferation phase occurs when granulation tissue over grows beyond the wound surface. I've felt fine since then and had no problems/symptoms. He was reluctant to use the silver nitrate not knowing how thick the bladder wall is. Do not use tampons. But then she slid it from side to side and I was sobbing uncontrollably. (Ouch) she also said I had severe vaginal dryness and started me on Estrace which is inserted vaginally. This article discusses the potential causes of bleeding after a hysterectomy. Dont have any pain. If the tear is large or there are additional complications, bowel evisceration may occur. I started on HRT after it stopped in March but in July I started have abdominal pain and a lot of watery discharge. These are the tips and precautions you need to know about when it comes to approaching sex after a hysterectomy. I am concerned. . People who have had a hysterectomy can sometimes experience vaginal bleeding years later due to granulation tissue. Well I had my 2 kids and 2 miscarriages, hubby had gotten fixed, we were done having kids, I was at work one day and all of a sudden felt a plop and walked awkwardly to the bathroom to find my utereus sticking outside of my body a good 2 inches. Day surgery laparoscopy, hysteroscopy, endometrial ablation. Six months on, 6 infections and 13 courses of antibiotics, a full urology assessment, MRI, and bleeding following examination by my consultant, Im just recovering from having a large granuloma excised, cauterised and restitched under general anaesthetic. Well go over its anatomy and function, as well as potential causes of pain and, Progesterone is a sex hormone produced in the ovaries. This wasn't supposed to happen with Stage 1b. Can diet and exercise reverse prediabetes? The application of SN today did hurt, but it wasnt terrible. Vaginal cuff repair is done surgically. The doctor found worsened granulation tissue. Back again for the stitches ripping open. Back again because they still werent healing. Some changes that a person may notice after undergoing a hysterectomy include: If the hysterectomy included the removal of the ovaries, a person could have a higher risk of developing conditions such as heart disease, bone loss, or urinary incontinence. I know if it was something too major they would have called the dr in right away. Is the pain in your sides, pain in the sides of the vaginal wall or abdomen? Can granulation be picked up on a transvaginal ultrasound? Vaginal vault granulation tissue occurring after total abdominal hysterectomy is a common postoperative complication. (I know thats a little much to know about me). A bipartisan effort is working to secure more funding for endometriosis research. Emily Hatch, the youngest of the . Lemon balm is also a natural sedative, helping you to get needed rest after surgery. I want answers and nobody can give us any.. Its always possible it will be picked up but it may be that the discharge is an infection instead in which case a trip to your GP would be advisable. Im in terrible pain still, and it is mostly on the right side of my lower abdomen. I do worry and this explains it well, and for those of us that require more detailed information about what is happening to our bodies this was wonderful to find. I had total abdominal hysterectomy six and a half weeks ago and still have slight spotting of fresh pink blood. The usual treatment is cauterization with silver nitrate. My pain worsened a few months later. Researchers have mixed opinions about what makes a vaginal cuff tear more likely, but an infection, a hematoma, or the type of surgery may be contributing factors. Created for people with ongoing healthcare needs but benefits everyone. I just went back today for my yearly exam and knew I still had granulation tissue since I have occasional spotting and bleed for 2-3 days after having sex. He told me I had granulation tissue and applied Silver Nitrate and to take it easy for a couple of days and no intercourse for 1 week. Now 14 weeks on from that op I still have discharge and just putting a speculum in and not opening it causes bleeding. My dr said I had granulation and with no warning did the silver nitrate. (2013). Among the various complications of hysterectomy, here we report an incidence of a patient who developed endometriosis at the vaginal vault with no . However, in certain circumstances, it is best to contact a doctor for evaluation. I my hysterectomy in March and have had bleeding some every month and after intercourse more bleeding! Im just waiting to see if it took care of the problem. I had my partial hysterectomy on Dec 30 ,2014. Ever since then I had been dealing with more discharge than I had ever had. Where do we go from here? It is normal to have spotting at this stage and it can take several weeks to clear up. Not all women are offered a six week check up at the hospital; if this is the case for you you may wish to make an appointment with your GP instead. How bacteria can colonize skin and accelerate eczema growth, Social isolation linked to lower brain volume that may affect cognitive health, Vitamin D supplements may benefit heart health, research finds, Elevated blood sugar, lower gray matter volume linked to depression, What to expect after a vaginal hysterectomy, Oophorectomy: Everything you need to know, What to expect during recovery from labiaplasty, bleeding that is persistent and does not stop, bleeding that is heavy or heavier than a menstrual period, starting physical activity too soon after surgery, relief from the symptoms that the hysterectomy was treating, menopause symptoms, if the surgeon also removed the ovaries, heavy vaginal bleeding that starts suddenly, vaginal bleeding that gets heavier with time, vaginal bleeding that continues after 6 weeks.