Recurrence After Electrocautery: A Urology Perspective

Q: Recurrence After Electrocautery: A Urology Perspective

Hello： If the treating physician has confirmed that the area is completely cleared, you can trust the physician, but you should still practice safe sex. <br>Using condoms can reduce the risk, but it cannot completely prevent it (this is certain). <br>You should monitor your skin

Recurrence after electrocautery: follow-up issues?

Hello, Director.
I am a member of the LGBTQ+ community, and my affected area is around the anus and inside the rectum.
I was previously advised to consult the urology department, and I appreciate your clear and friendly response at that time.
I apologize for coming back to seek your advice again.
Here is my medical history: On August 31, I underwent local anesthesia and electrocautery.
During follow-up visits on October 31 and November 31, everything was fine, and the doctor said to return in six months.
At the end of December, I had a sexual encounter with a condom, which resulted in slight bleeding.
On January 3, I changed hospitals for an examination, and the doctor said there was a recurrence, indicating that the lesion inside the rectum would require spinal anesthesia for thorough removal.
On January 4, I was hospitalized for electrocautery under spinal anesthesia, and I was discharged on January 5.
I returned for a follow-up on January 11, and the wound was fine.
As of today, January 17, there has been no bleeding.
When I asked the doctor when I should return for a follow-up, he said it was unnecessary.
I inquired if I needed to return in three months, and the doctor confirmed that this was already considered a recurrence, but the amount was small, and since it was treated under spinal anesthesia, it could be thoroughly cauterized, so no further visits were needed.
I also asked if I needed to wash my underwear separately, and the doctor said that was not necessary.
My question is: the doctor's reassurance has given me a lot of confidence, but it is a significant contrast from before, so I would like to know your opinion.
I now have a stable partner, and since my doctor is so confident, I had a sexual encounter with him on January 15, using a condom.
However, I feel guilty and worried about transmitting anything to him (he is unaware).
Although it has already happened, can I continue to have sexual relations (with a condom) now? At first, I was hesitant to tell him, and now I feel even more so.
I need your professional advice.
Thank you, Director.

Huangzhang, 30~39 year old female. Ask Date: 2019/01/17

Dr. Du Shixi reply Urology

Hello: If the treating physician has confirmed that the area is completely cleared, you can trust the physician, but you should still practice safe sex.
Using condoms can reduce the risk, but it cannot completely prevent it (this is certain).
You should monitor your skin for any abnormalities, and your partner should also get checked.
Wishing you good health.

Reply Date: 2019/01/17

More Info

After undergoing electrocautery for a condition related to the anal and rectal area, it is understandable to have concerns about recurrence and the implications for sexual health. Based on your description, it seems that you have experienced a recurrence of the condition after your initial treatment, which was addressed with a second electrocautery procedure.
Electrocautery is a common procedure used to remove abnormal tissue and control bleeding. While it can be effective, there is always a risk of recurrence, particularly in sensitive areas like the anal and rectal regions. The fact that you had a follow-up appointment shortly after your initial procedure and were cleared of any issues is a positive sign. However, the subsequent recurrence indicates that some abnormal tissue may have been left behind or that new tissue developed.

Regarding your concerns about sexual activity, it is important to consider a few factors. First, if your doctor has assured you that the recent procedure was thorough and that there is no longer any abnormal tissue present, the risk of transmission of any underlying condition during protected sex (using condoms) is significantly reduced. Condoms are effective in reducing the risk of sexually transmitted infections (STIs), but they are not 100% foolproof. If you are concerned about transmitting any potential infections, it is always best to communicate openly with your partner about your health status.

In terms of your emotional well-being, feeling guilty or anxious about your sexual health is common, especially when there are uncertainties involved. It is crucial to prioritize your health and the health of your partner. If you have any lingering doubts or concerns, consider discussing them with your healthcare provider. They can provide you with tailored advice based on your specific situation and help you navigate any potential risks.

As for follow-up appointments, it is generally advisable to have regular check-ups after any procedure, especially if there is a history of recurrence. While your doctor may feel confident that further follow-up is unnecessary at this time, it might be beneficial to seek a second opinion or request a follow-up appointment for your peace of mind. Regular monitoring can help catch any potential issues early and provide reassurance.

In summary, while your doctor has expressed confidence in the success of your recent procedure, it is essential to remain vigilant about your health. Engaging in protected sexual activity is generally safe if you have been cleared by your healthcare provider, but open communication with your partner is key. If you have any doubts or experience any new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and well-being should always come first.

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