Post-Surgery Concerns: Abnormalities After Laser Removal of Anal Warts

Abnormal sensations upon touching the wound inside the anus after mole removal surgery?

Hello, Dr.
Ko.
After undergoing laser surgery for the removal of internal and external moles, I discovered a series of swollen areas along the inner wall of the anus when I touched it with my finger within a week post-surgery.
The inner wall of the anus feels almost uneven.
I would like to ask: 1.
Is it normal to have these swollen, elongated areas extending from the anal opening into the anal canal? 2.
Will the unevenness of the anal canal improve over time after surgery? 3.
What is the purpose of the physician emphasizing that the ointment must be applied at least one finger's length into the anus? If I am unable to apply it due to swelling, will it have an impact?

Ms. Tseng, 30~39 year old female. Ask Date: 2021/05/01

Dr. Ke Fangxu reply Surgery

The term "laser" can refer to various types of procedures such as circumferential excision, harmonic scalpel, green light laser, or low-power laser.
If the instruments and surgical methods are not clearly specified, it may be difficult to provide a definitive answer.

1.
It could be postoperative swelling; if there is no bleeding or signs of redness, heat, or pain, it can be monitored further.
2.
It is likely to occur.
3.
Personally, I do not recommend that patients apply ointment inside the anus postoperatively to avoid accidentally causing a tear in the wound; applying it externally should be sufficient.
However, it is best to consult with the surgeon for specific advice.

Reply Date: 2021/05/01

More Info

After undergoing laser surgery for the removal of anal warts, it is not uncommon to experience some abnormalities during the healing process. Here are answers to your questions based on medical knowledge and common post-operative experiences.

1. Is the presence of a raised, swollen area extending from the anal opening into the anal canal a normal phenomenon?
Yes, it can be considered a normal part of the healing process. After any surgical procedure, including laser surgery, the body initiates a healing response that often includes inflammation. This inflammation can manifest as swelling, tenderness, and changes in texture in the affected area. The raised areas you are feeling may be a result of edema (swelling due to fluid accumulation) or the formation of scar tissue as the surgical site heals. However, it is essential to monitor these symptoms and report any significant changes, such as increased pain, redness, or discharge, to your healthcare provider.

2. Will the irregularities in the anal canal improve over time?
Generally, yes. As healing progresses, the swelling should subside, and the irregularities may become less pronounced. The body typically remodels scar tissue over time, which can lead to improved texture and appearance of the area. However, the timeline for healing can vary from person to person. It is crucial to follow your surgeon's post-operative care instructions to promote optimal healing. If you notice that the irregularities persist or worsen, it would be advisable to follow up with your healthcare provider for further evaluation.

3. What is the purpose of applying the ointment deep into the anal canal, and what happens if I cannot apply it due to swelling?
The instruction to apply the ointment deep into the anal canal is likely aimed at ensuring that the medication reaches the surgical site effectively. This can help reduce inflammation, prevent infection, and promote healing. If you are unable to apply the ointment due to significant swelling or discomfort, it is important to communicate this to your healthcare provider. They may suggest alternative methods of application or adjust your treatment plan accordingly. Not applying the medication as directed could potentially hinder the healing process, so it is crucial to address any difficulties you encounter.

In summary, while some swelling and irregularities are common after laser surgery for anal warts, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can provide personalized advice and reassurance based on your specific situation. If you have any concerns about your healing process or the appearance of the surgical site, do not hesitate to reach out for professional guidance. Your health and comfort are paramount, and your healthcare team is there to support you through your recovery.

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