Post-Electrosurgery Concerns: Urology Wound Healing - Urology

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Inquiry about post-electrocautery wound?


A few months ago, I visited a dermatologist because I had a small skin-colored bump on my foreskin.
The doctor recommended electrosurgery to minimize the risk of other symptoms.
After two weeks, the wound healed, but there was a small red dot at the site of the electrosurgery.
I initially thought it was just part of the healing process, but I can push out small red things from inside the wound, and it hurts when I touch it.
I'm unsure if this is related to blood vessels or nerves.
Could you please advise if this symptom is normal or if I should see a doctor?

HIOP, 20~29 year old female. Ask Date: 2021/02/16

Dr. Li Xinyi reply Urology


It has been several months, and there is still something unusual present.
It is recommended to visit a urologist to have it excised for pathological examination.

Reply Date: 2021/02/16

More Info


Post-electrosurgery concerns, particularly in the context of urology, can be quite common and may raise several questions regarding wound healing and potential complications. Based on your description, it seems you have undergone a procedure involving electrosurgery on the foreskin, and now you are experiencing some discomfort and unusual findings at the surgical site.
Firstly, it is important to understand that electrosurgery, while generally safe and effective, can lead to various post-operative symptoms. The presence of a small red dot at the site of the surgery, along with pain and the ability to push out a small red object, may indicate a few possibilities.
1. Normal Healing Process: After electrosurgery, the healing process can sometimes be accompanied by inflammation, which may manifest as redness and tenderness. This is a normal part of the healing process as the body works to repair the tissue. However, if the pain is significant or worsening, it may warrant further investigation.

2. Granulation Tissue: The small red object you mentioned could potentially be granulation tissue. This is a normal part of wound healing, where new connective tissue and microscopic blood vessels form on the surface of a wound. Granulation tissue can sometimes appear as a small, red bump and may be sensitive to touch. It is typically not a cause for concern unless it becomes excessively large or shows signs of infection.

3. Infection: If the area is increasingly painful, swollen, or if there is discharge (especially if it is pus-like), these could be signs of an infection. Infections can occur after any surgical procedure, and they require prompt medical attention to prevent complications.

4. Vascular or Nerve Issues: The sensation of pushing out a small red object could also suggest that you might be feeling a small blood vessel or nerve ending. If this is the case, it could be a normal anatomical structure that has become more prominent due to the surgery. However, if it is causing significant pain or discomfort, it is advisable to have it evaluated by a healthcare professional.

Given these possibilities, it is crucial to monitor the symptoms closely. If the pain persists, worsens, or if you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), it is important to seek medical attention. A healthcare provider can perform a physical examination and may recommend further imaging or tests if necessary.

In terms of wound care, here are some general recommendations:
- Keep the Area Clean: Gently clean the area with mild soap and water to prevent infection.

- Avoid Irritation: Wear loose-fitting clothing to avoid friction against the surgical site.

- Monitor Symptoms: Keep track of any changes in pain, swelling, or discharge, and report these to your healthcare provider.

- Follow-Up Appointments: Attend any scheduled follow-up appointments to ensure proper healing and address any concerns.

In conclusion, while some discomfort and unusual findings can be part of the healing process after electrosurgery, it is essential to remain vigilant. If you have any doubts or if your symptoms do not improve, do not hesitate to consult with your healthcare provider for a thorough evaluation and peace of mind.

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