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

Steven McCarus, M.D. 400 Celebration Place Suite310 Celebration FL 34747 4073034190	Melanie Bone, M.D. 5301 S. Congress Ave. Atlantis FL 33462 561-548-8600	Mayra J. Thompson, M.D. 5323 Harry Hines Blvd Dept OBGYN Dallas TX 75290 214-645-3888
Ruslana Kadze, M.D. 5525 Etiwanda Avenue Suite 228 Tarzana (Los Angeles) CA 91356 818-343-1717	Aram Bonni, M.D. 25108 Marguerite Parkway Suite A-259 Mission Viejo CA 92692 949-916-2100	Emily Cunningham, M.D. 1720 Nicholasville Road Suite 702 Lexington KY 40503 859-264-8811
Lauren Streicher, M.D. Gynecologic Specialists of Northwestern, S.C 680 N. Lake Shore Dr., Suite 117 Chicago IL 60611 (312)654-1166	Jennifer Fuson, M.D. 1720 Nicholasville Road Suite 702 Lexington KY 40503 859-264-8811	Ellen Wilson, M.D. 5323 Harry Hines Blvd - Dept of OBGYN Dallas TX 75390 214-648-4747

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