Is It Granulation Tissue After Hemorrhoid Surgery? - Surgery

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Is it granulation tissue after hemorrhoid surgery?


Is this a postoperative granuloma? I had traditional surgery for internal and external hemorrhoids with thrombosis on April 2nd, and it has been 25 days since then.
There is still a small lump the size of a mung bean at the anal opening.
Will it continue to reduce in size? Besides soaking in warm water, what other medications can I apply to help reduce the swelling? Currently, the only discomfort I feel is from this granuloma; occasionally, if I move too much, it can cause a little pain, although it's not severe.
I'm also worried that this might be a fistula.
If the granuloma doesn't go away, is there a possibility it could develop into a fistula? I'm really afraid of having to go through pain again.
Please help me take a look.
🙏🏻

Hua Hua, 20~29 year old female. Ask Date: 2019/04/27

Dr. Yu Mingchang reply Surgery


Hello: After using the restroom, cleaning with cold water is sufficient and is not a problem.

Reply Date: 2019/04/27

More Info


After undergoing hemorrhoid surgery, it is not uncommon for patients to experience the formation of granulation tissue at the surgical site. Granulation tissue is a normal part of the healing process and consists of new connective tissue and tiny blood vessels that form on the surface of a wound during the healing process. It typically appears as a small, raised, red or pink bump, which can sometimes be mistaken for abnormal growths or complications.

In your case, the green bean-sized bump you are describing at the anal area, 25 days post-surgery, is likely granulation tissue. This tissue can be sensitive and may cause discomfort, especially if it gets pulled or stretched during movements. While it is generally a benign part of the healing process, it is essential to monitor it for any changes, such as increased size, color changes, or signs of infection (like pus or increased pain).

Regarding your concerns about whether this granulation tissue could develop into a fistula (an abnormal connection between the anal canal and the skin), it is important to note that granulation tissue itself does not typically lead to fistula formation. Fistulas usually arise from infections or abscesses that do not heal properly. However, if you have persistent pain or if the tissue does not seem to be resolving, it would be prudent to consult your surgeon or healthcare provider for a thorough evaluation.

To help with the healing process and reduce any swelling, you can continue with sitz baths, which are beneficial for promoting blood flow and comfort in the anal area. Additionally, applying a topical ointment that your doctor recommends, such as a hydrocortisone cream or a barrier ointment, may help soothe the area and reduce inflammation. However, avoid using any products that are not specifically recommended by your healthcare provider, as some topical medications can irritate the area further.

It is also essential to maintain a high-fiber diet and stay well-hydrated to ensure soft bowel movements, which can minimize strain during defecation and help prevent further irritation to the surgical site. If you experience any significant changes in the appearance of the granulation tissue, increased pain, or any other concerning symptoms, it is crucial to follow up with your healthcare provider promptly.

In summary, while the presence of granulation tissue is a normal part of the healing process after hemorrhoid surgery, it is essential to monitor it and maintain good communication with your healthcare provider to ensure proper healing and address any concerns you may have.

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