Post-Cryotherapy Itching: Urology Insights and Solutions

Itching after cryotherapy?

In September, I noticed a growth near my anus, but I didn't pay much attention to it.
By November, it had developed into five growths.
I consulted a doctor who recommended cryotherapy.
After the treatment, he mentioned that there would be scabbing that would fall off naturally and prescribed a purple ointment to be applied three times a day.
However, I didn't notice any scabbing; the growths only seemed to shrink.
I have undergone about seven treatments so far.
There was one instance where I waited 2-3 weeks between treatments (I asked the doctor if I needed to come back, and he said I probably didn't).
Unfortunately, the growths returned and seemed to be deeper.
The cryotherapy is not effective for deeper issues, yet the last treatment was still cryotherapy (the doctor said if there’s no improvement next time, we would switch to medication).
This last treatment was somewhat painful, and I experienced slight bleeding when using the restroom (I usually use a bidet, and I'm unsure if that affects the treatment).
Now, I have intense itching.
I read online that it might be inflammation.
When I checked my anus with my phone, it appeared a bit dark and red, but the itching is unbearable.
I used alcohol to clean it, but it caused pain and a burning sensation.
I'm unsure if using alcohol is appropriate.
Should I consider switching to another hospital? I'm hesitant to show another doctor my condition.
The cryotherapy doesn't seem to be effective, but electrocautery seems inconvenient.
I'm uncertain if the ointment will help (is the effect of that ointment similar to the purple ointment used after cryotherapy?).
The doctor mentioned it might be somewhat irritating, but the current purple ointment seems to have caused some inflammation.
Should I stop using it? I'm worried that if I stop, it will relapse.
I also want to know what normal scabbing from cryotherapy should look like.

Lin Xiansheng, 10~19 year old female. Ask Date: 2021/01/09

Dr. Li Xinyi reply Urology

After using the restroom, it is important to wipe thoroughly before using the bidet.
Do not use alcohol.
It is advisable to consult a general surgeon or a colorectal surgeon, as surgical excision may be necessary, and the specimen should be sent for pathological examination.

Reply Date: 2021/01/09

More Info

It sounds like you are experiencing a challenging situation following cryotherapy for anal lesions. Cryotherapy is a common treatment for various skin conditions, including warts and other benign lesions, and it works by freezing the tissue, which leads to cell death and eventual shedding of the affected area. However, the process can sometimes lead to complications, including itching, inflammation, and discomfort, which you are currently experiencing.

Understanding Post-Cryotherapy Itching
Post-cryotherapy itching is not uncommon and can be attributed to several factors. After the procedure, the treated area may become inflamed as the body responds to the trauma of freezing. This inflammation can lead to itching, which is often a sign of healing. However, if the itching is severe or accompanied by other symptoms like redness, swelling, or discharge, it could indicate an adverse reaction or infection.

Possible Causes of Your Symptoms
1. Inflammation: After cryotherapy, the treated area may become inflamed, leading to redness and itching. This is a normal part of the healing process, but if it persists or worsens, it may require further evaluation.

2. Infection: If you notice increased pain, swelling, or discharge, there could be an infection. The presence of blood during bowel movements could also suggest irritation or a secondary infection, especially if the area is inflamed.

3. Improper Healing: If the lesions are not healing properly, they may recur or become more pronounced. This could be due to inadequate treatment depth or technique during cryotherapy, especially if the lesions are deeper than what can be effectively treated with this method.

4. Irritation from Products: Using alcohol or other harsh substances on the sensitive anal area can exacerbate irritation and should generally be avoided. Alcohol can dry out the skin and lead to further inflammation.

Recommendations
1. Consult a Specialist: If you are not seeing improvement after several treatments, it may be wise to seek a second opinion from a different healthcare provider. A specialist in dermatology or proctology may provide more insight into your condition and suggest alternative treatments.

2. Avoid Irritants: Refrain from using alcohol or other irritants on the affected area. Instead, consider using gentle, non-irritating cleansers and moisturizers designed for sensitive skin.

3. Monitor Symptoms: Keep track of your symptoms, including any changes in color, size, or pain level of the lesions. Documenting these changes can help your healthcare provider make a more informed diagnosis.

4. Discuss Treatment Options: If cryotherapy is not yielding the desired results, discuss other treatment options with your doctor. Options may include topical treatments, laser therapy, or electrosurgery, depending on the nature of the lesions.

5. Follow-Up Care: Ensure that you have a follow-up appointment scheduled to assess the healing process and discuss any ongoing symptoms. Consistent monitoring is crucial for effective treatment.

Conclusion
In summary, while post-cryotherapy itching and discomfort can be part of the healing process, persistent or worsening symptoms warrant further evaluation. It is essential to communicate openly with your healthcare provider about your concerns and treatment progress. If you feel uncomfortable with your current treatment plan, seeking a second opinion can provide you with additional options and peace of mind. Remember, your health and comfort are paramount, and you deserve effective treatment for your condition.

Similar Q&A

Is It Normal to Experience Itching After Wart Cryotherapy?

Hello, doctor! I just completed cryotherapy for warts three days ago, and the area around the warts is extremely itchy, like millions of ants are crawling on it. It is now the fourth day, and it is still very itchy. Is this normal? Thank you!

Dr. Li Yufen reply Dermatology
Hello: After cryotherapy, the skin around the viral wart may sometimes develop blisters or scabs. Generally, pain is more common than itching. It is recommended that you return for follow-up treatment. Thank you!

Understanding Urology: Common Questions About Cryotherapy and HPV Risks

Hello, Doctor. I would like to ask you a few questions: 1. Is it possible that after cryotherapy, there are no blisters or scabs, and the treated area does not shed? 2. Does cryotherapy always result in shedding? 3. Is it possible that the area to be frozen is too small or not ...

Dr. Du Shixi reply Urology
Hello: If you have any issues from 1 to 6, please seek medical attention. For 7, simply rinse with clean water and dry. Wishing you good health.

Understanding Post-Cryotherapy Skin Changes: What to Expect

After completing a cryotherapy session, I noticed that after showering and applying medication, the dead skin on the bottom of my foot started to peel off, revealing an invasive-looking indentation filled with many thread-like structures that felt like skin being pulled. Is this ...

Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine the issue. If it is causing significant distress, please seek medical attention as soon as possible. A proper examination is necessary to identify the problem and determine the appropriate course of action.

Managing Post-Freezing Treatment for Anal Warts: What to Expect

Hello, doctor. I was diagnosed with anal warts yesterday and received cryotherapy treatment immediately. I was advised to return weekly for application, but no ointments were prescribed. However, after having a bowel movement today, the affected area started to bleed and there is...

Dr. Li Xinyi reply Urology
You may need to see a colorectal surgeon for a thorough examination.