Post-Surgery Concerns: Managing Bleeding After Anal Warts Electrosurgery - Surgery

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Post-electrosurgery for anal warts (condylomata acuminata)


Hello doctor, I had a hemorrhoid electrosurgery last Thursday and have returned for follow-up twice.
The doctors said I am recovering well and there is no need to worry.
However, I experienced fresh red bleeding once yesterday and once today.
It was not the typical post-operative pinkish fluid mixed with tissue; it occurred while I was sitting and seemed to flow out without me noticing.
I was able to stop the bleeding quickly with gauze and tissue.
Is this normal, or could my wound be opening up? Should I just try to avoid sitting for long periods to prevent pressure on the wound? Thank you.

BEAR, 20~29 year old female. Ask Date: 2016/05/26

Dr. Li Zhonghuai reply Surgery


Hello! Although it is difficult to maintain sterility around the anal area, it is recommended to use sterile gauze instead of toilet paper.
You are currently waiting for the epidermis to heal, so bleeding from the tissue is a good sign.
Please return for regular follow-up appointments.
It is advisable to use a pressure relief cushion.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/05/26

More Info


After undergoing electrosurgery for anal warts, it is not uncommon to experience some post-operative bleeding, especially within the first couple of weeks. Your concerns about the fresh red bleeding you have noticed are valid, and it’s important to understand the potential causes and management strategies.

Firstly, it is essential to recognize that some bleeding can occur after such procedures due to the nature of the surgery itself. Electrosurgery involves the use of electrical currents to remove tissue, which can lead to cauterization of blood vessels. However, the healing process can sometimes result in the reopening of these vessels, especially if there is pressure or strain on the area, such as prolonged sitting.

The fact that you are experiencing bright red bleeding, particularly when sitting, suggests that there may be some irritation or pressure on the surgical site. This could be due to the position you are in or the pressure exerted on the area. It is crucial to avoid activities that could exacerbate this bleeding, such as sitting for extended periods, heavy lifting, or straining during bowel movements. Instead, consider using a cushion or a donut-shaped pillow when sitting to alleviate pressure on the affected area.

In terms of management, here are some recommendations:
1. Monitor the Bleeding: Keep track of the frequency and amount of bleeding. If it is minimal and stops quickly with pressure, it may not be a cause for concern. However, if the bleeding persists or increases in volume, it is essential to contact your healthcare provider.

2. Avoid Straining: To prevent further irritation, ensure that you are not straining during bowel movements. A diet high in fiber, along with adequate hydration, can help maintain soft stools and reduce the risk of constipation, which can lead to straining.

3. Follow-Up Care: Since you have already had two follow-up appointments and your doctor has indicated that your recovery is on track, it is essential to continue attending these appointments. They can provide a more thorough examination and determine if any additional interventions are necessary.

4. Rest and Recovery: Allow your body time to heal. Avoiding strenuous activities and giving yourself adequate rest can significantly aid in the recovery process.

5. Hygiene: Maintain good hygiene in the area to prevent infection, which can complicate healing and lead to additional bleeding.

6. Pain Management: If you experience pain along with bleeding, over-the-counter pain relief medications may help, but consult your doctor before taking any new medications.

7. Seek Immediate Care if Necessary: If you experience heavy bleeding (soaking through pads in an hour), signs of infection (increased redness, swelling, or discharge), or severe pain, seek medical attention promptly.

In conclusion, while some bleeding can be a normal part of the healing process after electrosurgery for anal warts, it is crucial to monitor the situation closely and take steps to minimize further irritation. If you have any doubts or if the bleeding continues, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and peace of mind are paramount, and your doctor can provide the best advice tailored to your specific situation.

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