Vaginal Cuff Granulation – Silver Nitrate – Cauterization

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Vaginal Cuff Granulation – Silver Nitrate – Cauterization

Vaginal Cuff Granulation – Silver Nitrate – Cauterization

From the Post-Op Hysterectomy Articles List

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Ask A Doctor

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.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

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Find A Doctor Near You

Robert Furr, M.D. Women's Surgery Center 1604 Gunbarrel Road Chattanooga TN 37421 4238996511	Megan Bird, M.D. 364 SE 8th Ave, Suite 205 Hillsboro OR 97202 503-681-4145	Tamer Seckin, M.D. 872 FIFTH AVE NEW YORK NY 10065 2129881444
Gretchen Makai, M.D. 4735 Ogletown Stanton Rd MAP II, Ste 2103 Christiana Care Health System Newark DE 19713 302-623-4410	Brad Cohen, M.D. 2477 Route 516 Suite 103 Old Bridge NJ 08857 732-679-6900	Byungyol Chun, M.D. Northern Essex Women's Health 360 Merrimack St Entrance G Lawrence MA 01843 978-557-9060
Arnold Advincula, M.D. Florida Hospital Celebration Health 400 Celebration Place Celebration FL 34747 (407) 303-4573	Debra Richardson, M.D. Gynecological Oncology Clinic - SW Med 2201 Inwood Road Suite 106 Dallas TX 75390 214-645-4673	David Mainman, M.D. Desert Bloom Obstetrics & Gynecology 6452 E. Carondelet Drive, Suite A Tucson AZ 85710 520-885-5300

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