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granulation and scar tissue repair granulation and scar tissue repair

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Unread 07-18-2005, 09:59 AM
granulation and scar tissue repair

I had a hysterectomy 11 months ago. I have endo and adeno. From a recent gyn exam (not done by my regular gyn doc, but for hormones only) apparently I have scar tissue OR endo related problems. I had bleeding and lots of pain during exam. I will see my regular doc soon.

I am wondering if any of these corrective procedures like for granulation or scar tissue are very painful. Are there any anesthetics given? I am still a little stressed from the pain of the exam, and was surprised to have pain. I think the increase in hormones will correct any problems with atropy. Any input much appreciated.
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Unread 07-18-2005, 04:34 PM

Dear Heather,
I had granulation also. The doctor applied silver nitrate to cauterize it. It was a little uncomfortable but not too bad. I have had a bit of discharge since but that should clear up soon. Good Luck!
Unread 07-19-2005, 05:49 AM
granulation and scar tissue repair

Hi Heather!

I'm sorry you are having problems. I know from experience that dealing with vaginal dryness/atrophy isn't any fun. On top of that, I also had to have treatments for granulation tissue. My dryness/atrophy was treated with Vagifem initially and then I switched to a compounded cream when I changed all of my hormone therapy around 7 months post-op. I'm back to using Vagifem again because I like the convenience and it works well for me without any mess.

My granulation tissue was along my entire vaginal cuff. The first treatment of silver nitrate I had hardly did anything so my doctor opted for Plan B, which was a surgical procedure done in his office to remove the tissue. He did what is called LEEP (Loop Electrosurgical Excision Procedure). I was on the regular exam table as if I were there for a Pap test. He first numbed the vaginal cuff with several injections. I won't lie--that hurt a lot, especially the first shot. After the area was numb he proceeded to remove the bad tissue which was sent to pathology. (Results of that were benign--it was granulation tissue as he thought it would be.) After the LEEP he applied more silver nitrate and I was given the usual advice to abstain from sex for at least a week to give the area time to heal. I had cramping, felt achy, and then had some discharge for several days. The procedure was done on a Friday evening and when I got home I went to right to bed. I was up and around the next day feeling a bit sore, but functional.

When I went back for a recheck, I had another treatment of silver nitrate. I ended up with just one spot that required more silver nitrate a time or two and finally it was gone. That took well over a month from the time I was diagnosed until I was rid of the granulation. If the LEEP hadn't been as successful as it was, there was a Plan C. I didn't ask for details but my doctor did mention it would require an outpatient trip to the hospital so I could be put to sleep briefly so he could work on the area. His concern was that it would be more than I could tolerate with local injections. Thankfully Plan C didn't need to be implemented.

The applications of the silver nitrate wasn't too bad, as I recall. It stung a bit and I did cramp and ache after each treatment and had discharge for a few days, but it wasn't terrible. I preferred it over the LEEP, but I understand that my granulation was much more a problem than what most women experience and my doctor did what he had to do to help me get better. After all this time he still remembers what I had to go through and even commented on it at my last well woman exam a few weeks ago.

I hope my experiences are helpful to you!

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Unread 07-19-2005, 06:41 AM
granulation and scar tissue repair

Hi Heather,
I had a granulation repair last Wednesday. It did not occur to me to ask the doctor how the procedure would be or if I would be able to return to work that day., mind you....I do not tolerate pain well...but I won't lie.... It hurt. It hurt alot. If I ever have to have another granulation repair procedure, I am going to request heavy duty drugs or have it scheduled as surgery. I was unable to return to work--had to go home and sleep. I was cramping big time, but did not have much discharge (or was in too much pain to notice). I was able to go on to church Wednesday night, but felt really crummy. It still hurt the next day--just a I went to work.
I am sometimes an exception to the rule...some women just get off of the table and go on. I thought it KNOW it hurt. And, ask your doctor about restrictions on sex....2 days later was very, VERY painful. ouch.

it's no fun...but I think you can request to schedule the procedures as be sure to discuss those options with your doctor.
take care and best wishes~
Unread 07-22-2005, 03:44 PM
granulation and scar tissue repair

Thank you April Dawn and Lhasaapso for your response to my post. The info was very helpful. Sorry for the late response. I posted on 7-18-05. I had emergency dental work done and problems with chronic fatigue. Thanks again.
Heather 711

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