Post-Surgery Concerns: Red Growth After Fistula Surgery - Surgery

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Postoperative issues


After undergoing a fistula incision surgery, I had a normal bowel movement in the hospital the next day.
However, after being discharged and returning home, I noticed a red fleshy growth protruding from my anus.
I'm unsure if it's a polyp or hemorrhoid.
Is this normal, considering it's only been a day? I'm not sure if it's an incomplete removal of a hemorrhoid or if a polyp has developed.

Niming, 20~29 year old female. Ask Date: 2020/04/01

Dr. Ke Fangxu reply Surgery


Answer: Without a personal examination of the wound, it is difficult to provide a definitive answer.
However, this could potentially be a wound from a fistula incision, where polyps may be observed before the wound has fully healed.
There is also a possibility of hemorrhoidal swelling.

Reply Date: 2020/04/01

More Info


After undergoing fistula surgery, it is not uncommon to experience some post-operative changes, including the appearance of a red growth near the anus. This can be concerning for many patients, especially if it occurs just a day after surgery. The growth you are observing could potentially be a few different things, including granulation tissue, a hemorrhoid, or even a small polyp.

Granulation tissue is a normal part of the healing process. It is a type of tissue that forms at the site of a wound during the healing process and is typically red or pink in color. This tissue is composed of new blood vessels, collagen, and inflammatory cells, and it plays a crucial role in wound healing. In many cases, granulation tissue can appear as a small, raised area that may look alarming, but it is usually a sign that the body is healing.

On the other hand, if the growth is a hemorrhoid, it could be a result of increased pressure in the anal area, which can occur after surgery. Hemorrhoids can develop due to straining during bowel movements, prolonged sitting, or even as a reaction to the surgical procedure itself. If the growth is indeed a hemorrhoid, it may be accompanied by symptoms such as pain, itching, or bleeding.

It is important to monitor the growth closely. If it becomes larger, painful, or if you experience significant bleeding, you should contact your healthcare provider for further evaluation. They may want to examine the area to determine the exact nature of the growth and whether any treatment is necessary.

In terms of recovery, it is essential to follow your surgeon's post-operative care instructions. This may include recommendations for sitz baths, dietary changes to ensure soft stools, and possibly medications to manage pain and inflammation. Keeping the area clean and avoiding straining during bowel movements can help reduce the risk of complications such as hemorrhoids or excessive granulation tissue formation.

If you have concerns about the growth or if it does not resolve in a reasonable timeframe, it is advisable to schedule a follow-up appointment with your surgeon. They can provide a thorough examination and determine whether any intervention is needed. In some cases, additional treatments may be required to address excessive granulation tissue or to manage hemorrhoids effectively.

In summary, while the appearance of a red growth after fistula surgery can be alarming, it is often a normal part of the healing process. However, it is crucial to stay vigilant and communicate with your healthcare provider about any changes or concerns you may have during your recovery.

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