WOMENS-HEALTH Messages for June, 1998: Re: hysterectomy complications

Re: hysterectomy complications

From: anonymous@obgyn.net
Wed, 17 Jun 1998 22:59:16 -0500 (CDT)

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At Wed, 17 Jun 1998, brenda wrote:

>slight yellow discharge since surgergy actually began about 2to3weeks
>after surgery, also light bleeding after intercourse. Doctor says it's
>granular tissue buildup and has had me in for 6 office visits

Although 6 visits does seem excessive, in unusual cases it takes this many visits to snip (or cauterize) the granulation tissue. Granulation tissue tends to redevelop and can be difficult to remove. One trick is to numb the area with novocaine then burn it off using a LEEP coagulation ball. This is done in the office.

If your doctor used permanent suture (which is unlikely), then it may be a suture granuloma, which may not go away until the stitch is removed.

It's also possible this is not granulation tissue, and instead is a prolapsed fallopian tube. If your ovaries were left behind, the tube can "fall through" the incision, leading to a watery discharge and postcoital spotting. This may require a brief, outpatient trip to the operating room for excision through the vagina.

Please note that granulation tissue is not really preventable. Unfortunately, it's one of those unhappy side effects that sometimes accompanies surgery. I'm sure if you express your frustration to your doctor he or she will act more aggressively to remove the abnormal tissue.

Good luck.

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida

The above information is provided for medical education only, and is not intended as specific medical advice. I am sorry, but due to time constraints, I am unable to answer personal e-mail.

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