Post-Procedure Concerns: Managing Pain and Infection After Vaginal Wart Removal - Obstetrics and Gynecology

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The cauliflower has just been microwaved?


Doctor, I have two cauliflower-like growths at the opening of my vagina.
They were treated with electrocautery yesterday, and today I have pus discharge and pain when using the restroom.
It is still itchy now! The doctor did not prescribe any ointments, only antibiotics and pain relievers.
With my wounds, is it easy for me to get infected with other bacteria? Also, I have a lump below my urethra with many small, round protrusions that look like bubbles.
Is this cauliflower? The doctor told me it is not, but I am still worried it might be.
Additionally, I suspect I have a yeast infection in my vagina.
Will using a suppository affect this?

Li, 20~29 year old female. Ask Date: 2016/09/20

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
Li: If your wound is not very large, it should be fine.
The risk of infection is low, but if you are concerned, you can apply povidone-iodine to prevent infection.
The protrusion below your urethra, is it a wart? You should have a doctor examine it, as I cannot assess it online.
The vaginal suppository you are currently using does not affect it.

Reply Date: 2016/09/20

More Info


After undergoing a procedure for the removal of vaginal warts, it is common to experience some discomfort, including pain, itching, and even discharge. These symptoms can be concerning, especially when they persist or worsen. In your case, the presence of pus and pain during urination suggests that there may be an infection or inflammation at the site of the procedure.
First and foremost, it is essential to follow up with your healthcare provider regarding your symptoms. While antibiotics are typically prescribed to prevent or treat infections, they may not always be sufficient if there is an underlying issue that needs to be addressed. If you notice increased redness, swelling, or a foul odor from the discharge, these could be signs of infection that require immediate medical attention.

Regarding your concern about the "bump" near your urethra, it is crucial to have it evaluated by a healthcare professional. While your doctor has indicated that it is not a wart, it is essential to ensure that it is not a different type of growth or infection. The appearance of small, round, bubble-like protrusions can be indicative of various conditions, including cysts or other benign growths, but they should be assessed to rule out any potential issues.

As for the potential for a yeast infection (candidiasis), it is important to be cautious when using antifungal treatments, especially after a procedure. If you suspect you have a yeast infection, it is advisable to consult your doctor before using any over-the-counter treatments. Some antifungal medications can irritate the area further, especially if there are open wounds or recent surgical sites.

In managing your post-procedure care, consider the following recommendations:
1. Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid using harsh soaps or scented products that could irritate the skin.

2. Avoid Irritants: Refrain from using any products that could further irritate the area, such as douches, scented pads, or tampons until you have fully healed.

3. Pain Management: Continue taking the prescribed pain medications as needed. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage discomfort.

4. Follow-Up Appointments: Schedule a follow-up appointment with your healthcare provider to discuss your symptoms and any concerns you may have. It is vital to have a professional evaluation to ensure proper healing and to address any potential complications.

5. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, discharge, or the appearance of the area. If symptoms worsen or new symptoms arise, seek medical attention promptly.

In conclusion, while some discomfort is expected after the removal of vaginal warts, persistent pain, discharge, and itching warrant further evaluation. It is crucial to maintain open communication with your healthcare provider and to follow their recommendations for post-procedure care. By doing so, you can help ensure a smoother recovery and address any potential complications early on.

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