Concerns After Electrosurgery: New Growths and Wound Care in Urology

Q: Concerns After Electrosurgery: New Growths and Wound Care in Urology

Hello： 1. <br>If it is indeed a cauliflower wart, is it possible for it to infect the surrounding wounds? How should wound care be managed? --> Yes, it is possible. <br>The surrounding skin may become infected even if it hasn't manifested yet. <br>After electrosurgery, it is esse

Immediately after electrosurgery, a suspected new lesion is observed?

Hello Doctor, I discovered a small growth near my anus in mid-February of this year.
After consulting a physician, it was confirmed to be genital warts.
Upon examination, it was found that some of the warts were located internally in the anal canal.
Following the physician's recommendation, I underwent electrosurgery immediately.
During a recent follow-up, a new lesion was found internally, and I was scheduled for another electrosurgery.
It has now been a week since the surgery, and I have been following the doctor's instructions to apply ointment and keep the wound clean.
However, today while applying the ointment, I noticed a small white bump emerging near the wound, and I am very concerned that it might be genital warts.
I would like to ask the doctor: 1.
If it is indeed genital warts, could it infect the surrounding wound? What precautions should I take for wound care? 2.
Are there any cases where new lesions appear shortly after electrosurgery? Thank you, Doctor.

Nìmíng, 20~29 year old female. Ask Date: 2021/09/11

Dr. Du Shixi reply Urology

Hello: 1.
If it is indeed a cauliflower wart, is it possible for it to infect the surrounding wounds? How should wound care be managed? --> Yes, it is possible.
The surrounding skin may become infected even if it hasn't manifested yet.
After electrosurgery, it is essential to keep the area clean and dry.
The skin will typically heal within about 10 days post-procedure.
2.
Are there cases where new lesions appear immediately after electrosurgery? --> This is quite common.
Some viral infections may gradually emerge, so it's important to monitor the genital skin.
It is also common for patients to undergo multiple electrosurgeries, and some may develop new lesions several months later.
Wishing you good health.

Reply Date: 2021/09/11

More Info

After undergoing electrosurgery for the removal of warts or similar growths, it is not uncommon for patients to experience concerns regarding new growths and wound care, particularly in sensitive areas such as the genital or anal regions. Your situation, where you have noticed a new growth after surgery, raises valid concerns that warrant careful consideration and management.

1. Concern About New Growths: If you have discovered a new white growth near the surgical site, it is essential to consult your healthcare provider for an accurate diagnosis. While it is possible that this could be a recurrence of the wart (commonly known as condyloma acuminatum), it could also be a benign growth or a result of the healing process. Warts can sometimes appear in clusters or new areas, especially if the human papillomavirus (HPV) is still present in the body.
2. Infection Risk: If the new growth is indeed a wart, there is a potential risk of it affecting the surrounding tissue, particularly if the area is not kept clean or if there is irritation. Proper wound care is crucial to prevent infection. This includes keeping the area clean and dry, avoiding any irritants (such as harsh soaps or fragrances), and following your doctor's instructions regarding the application of topical medications. If you notice increased redness, swelling, or discharge from the wound, these could be signs of infection, and you should seek medical attention promptly.

3. Wound Care Recommendations: After electrosurgery, it is vital to maintain a clean environment for the surgical site. Here are some general tips for wound care:
- Keep the Area Clean: Gently wash the area with mild soap and water. Avoid scrubbing the site.

- Dry Thoroughly: After washing, pat the area dry with a clean towel. Avoid rubbing, which could irritate the skin.

- Follow Medication Instructions: If your doctor has prescribed a topical ointment or cream, apply it as directed. This may help in promoting healing and preventing infection.

- Avoid Irritants: Stay away from products that could irritate the area, such as scented soaps, lotions, or tight clothing.

- Monitor for Changes: Keep an eye on the surgical site for any changes, such as increased pain, swelling, or discharge. If you notice any concerning symptoms, contact your healthcare provider.

4. Recurrence of Warts: It is not uncommon for patients to experience new growths after electrosurgery. The effectiveness of the procedure can vary based on several factors, including the extent of the initial infection, the individual's immune response, and whether the HPV virus remains in the body. Some patients may require multiple treatments to achieve complete resolution of the warts.
5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential for monitoring your condition. They can assess the healing process, evaluate any new growths, and determine if further treatment is necessary. If you have concerns about the frequency of new growths, discuss this with your doctor, as they may recommend additional interventions or treatments.

In conclusion, while the appearance of new growths after electrosurgery can be concerning, it is crucial to approach the situation with careful monitoring and appropriate medical guidance. Maintaining proper wound care and staying in close contact with your healthcare provider will help ensure the best possible outcome for your recovery.

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