After Hysterectomy Vaginal Cuff Granulation – Silver Nitrate – Cauterization

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After Hysterectomy Vaginal Cuff Granulation – Silver Nitrate – Cauterization

After Hysterectomy Vaginal Cuff Granulation – Silver Nitrate – Cauterization

Date : 08-04-2004 - 09:01 AM - Readers : 30503

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During my post-op checkup, my doctor told me that the vaginal cuff wasn't healing properly and he treated it with something. Can anyone provide insight for me?

Given the dark moist environment of the vagina, the cuff is an area which may not heal as quickly as external incisions. Sometimes there can be a problem of granulation. Granulation is scar tissue which starts to form over an unhealed area, thus preventing/slowing true healing.

Indications of granulation range from no obvious symptoms to an odor, spotting, or perhaps even some bright red blood (particularly after intercourse or new physical exertions).

Treatment for granulation can take place in your doctor’s office, and takes next to no time at all. An application of silver nitrate cauterizes the unwanted tissue. Some women report this as a painless intervention, while others have found that it hurts. Over all it is described as a stinging sensation.

After silver nitrate treatments it is normal to have some discharge for a few days. This discharge may be blackish/gray at first, but within a short time the color should dissipate and convert to a clear/watery discharge for a day or two, then nothing. You may experience cramping and bloating for the first couple of days. You may be allowed to resume all activities, (including swimming/bathing), as early as the day you have the cauterization done, but you must follow your doctor’s restrictions because they will be relevant to YOUR situation.

If you still have discharge after a week, a call to the doctor is in order.

Depending on the amount of granulation you have, you may need to have more than one treatment.

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