When the complete uterus with cervix is removed, a vaginal cuff is created to close the top of the vagina. The stitches used to create this cuff are usually absorbable and may begin to disintegrate as early as three weeks after surgery, though it may be as long as three to four months after surgery before they have dissolved.
The vaginal cuff can either be created vaginally or laparoscopically. When the cuff is created vaginally, it may be more likely that some of the dissolving stitches will be seen as knots will be on the vaginal side of the cuff. As parts of the stitches dissolve, remaining pieces on the vaginal side of the cuff may exit through the vagina. Some HysterSisters have found tiny pieces on their panty liners, seen them when wiping, or saw them floating in the toilet. These pieces of “string” can range in size and color as there are a variety of materials which can be used. Common colors reported by HysterSisters are purple, blue, tan, brown, black, and white. They can be small, curled bunches of thread-like material or look like pieces of string.
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