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Unread 11-29-2003, 09:21 AM

Hello to all, My question is what is granulation and does it happen when you have a abdominal hyst. Thanks to al for a response. I am 9 mo post-op,and wonder if I have this, Help!
Blessings to all
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Unread 11-29-2003, 11:32 AM

hello baseballgal,
granulation is what happens when the tissue near a surgery site doesn't heal..... usually on this site it refers to the vaginal cuff not healing properly, and indications that you might have it are some spotting and discharge.

If you are 9 moths, I don't know if this would be your problem... if you kept your cervix, I don't believe it would be your problem, but I'm not sure.

In anycase, if you are 9 months and having a symptom that makes you think you have a problem...... my bet is that it is time to call the dr and get some peace of mind.

best wishes,
Unread 11-29-2003, 02:43 PM

Did you have a TAH-total abdominal hysterectom, removal of uterus and cervix or an SAH-supracervical hysterectomy, removal of the uterus keeping the cervix?

If you had a total....taking out your cervix, they stitch up your vagina sort of like how the end of a sock is stitched. This area at the top of the vagina is called the vaginal cuff. Sometimes when this heals, a little bit of peritoneal tissue comes down between the internal sutures and this is called granulation tissue. It is like internal scar tissue. The gyn will go at it with silver nitrate at the end of a cotton swab and "cauterize" this tissue since it can be sensitive, especially during intercourse. Sometimes it can cause bleeding or discharge. It takes 3-4 months for the internal sutures to be completely healed, so we have to continue to be careful how much we lift, push, pull, and strain for at least that long after the hysterectomy. The dr. can see this granulation tissue during a view with a speculum.

I have seen a few women on this site that had been diagnosed with granulation months after their hysterectomy so if you have any concerns, bleeding after sex, discharge, pain, or any other unusual symptoms it's best to check with your dr. This can easily be treated with silver nitrate for most. It took me about 5 or 6 treatments to finally get rid of it.
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Unread 11-29-2003, 05:23 PM

Did you have any discomfort with the granulation? I have a irritating feelling almost like something is rubbing inside, or scratching, I am 9weeks post op and very discouraged.
Unread 11-29-2003, 05:51 PM

Yes I did have some irritation but I also didn't put anything inside because I wasn't allowed to till after the dr. cleared me at week 12 for intercourse. Sometimes it takes awhile for us to heal.

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