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Vaginal Cuff | Granulation Treatment after Hysterectomy

From the Hysterectomy Recovery Articles List

purple tulip on white backgroundDuring my post-op checkup, my doctor told me that the vaginal cuff wasn't healing properly, and he treated it with silver nitrate. What exactly is that, and I what can I expect afterward?


Given the dark moist environment of the vagina, the vaginal cuff may not heal as quickly as external incisions after a hysterectomy. Sometimes during healing, granulation can occur. Granulation is scar tissue that 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).

Granulation can usually be treated in your doctor’s office in no time at all. An application of silver nitrate cauterizes the unwanted tissue. Some women report this as a painless intervention, while others found it painful. Overall, it is described as a stinging sensation. Depending on the amount of granulation you have, you may need to have more than one treatment.

After a silver nitrate treatment, it is normal to have some discharge for a few days. This discharge may be blackish/gray at first, but the color should dissipate within a short time 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, call your doctor.



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.

08-04-2004 - 10:01 AM


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