Post-Surgery Concerns: Abnormalities After Anal Mole Removal - Surgery

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


Hello Dr.
Ke, I underwent laser surgery for the removal of internal and external moles.
Within one week post-surgery, I noticed a series of swollen areas along the inner wall of the anus, extending from the anal opening inward.
The inner wall feels almost uneven to the touch.
I have the following questions:
1.
Is it normal to have these elongated swollen areas extending from the anal opening into the anal canal?
2.
Will the unevenness of the anal canal improve over time after surgery?
3.
After discharge, the doctor emphasized that the topical ointment should be applied at least one finger's length inside the anus.
What is the purpose of this instruction? If the swelling prevents me from applying the ointment, will it have any adverse effects?

Ms. Tseng, 30~39 year old female. Ask Date: 2021/05/02

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.
The swelling after surgery may be normal; 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 post-surgery, as this may inadvertently cause the wound to reopen.
Applying it externally should be sufficient, but it is best to consult with the surgeon for specific advice.

Reply Date: 2021/05/02

More Info


After undergoing laser surgery for the removal of anal moles, it is common to have concerns about post-operative abnormalities. Your observations regarding the presence of raised areas along the anal canal and the uneven texture of the anal wall are understandable. Let’s address your questions one by one.

1. Is the presence of raised areas extending from the anal opening into the anal canal a normal phenomenon?
It is not uncommon to experience some swelling or irregularities in the anal area following surgery. The surgical procedure can lead to inflammation, which may manifest as raised areas or a bumpy texture along the anal canal. This is typically a part of the healing process as the body responds to the trauma of surgery. However, if the swelling persists or worsens, it is essential to consult your surgeon to rule out any complications, such as infection or excessive scar tissue formation.

2. Will the uneven texture of the anal canal improve over time?
Generally, the irregularities you are feeling should improve as the healing process continues. The body often undergoes a remodeling phase after surgery, where scar tissue matures and becomes less prominent. This process can take several weeks to months. It is crucial to follow your surgeon's post-operative care instructions, including any recommended medications or topical treatments, to facilitate healing. If you notice no improvement after a reasonable period or if you experience pain, bleeding, or other concerning symptoms, you should seek medical advice.

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 affected area effectively. This is particularly important if the ointment is intended to reduce inflammation, promote healing, or prevent infection. If swelling makes it difficult to apply the ointment as directed, it is essential 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 prescribed could potentially hinder the healing process or increase the risk of complications.

In summary, while some post-operative swelling and irregularities are expected after anal mole removal, it is essential to monitor your symptoms closely. If you have concerns about the healing process or if symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide personalized advice and reassurance based on your specific situation. Remember, effective communication with your healthcare team is key to a successful recovery.

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