Postoperative pain after a phyllodes tumor surgery?
Hello, doctor.
I underwent a phyllodes tumor surgery on my left breast half a month ago.
During my follow-up appointment, the surface of the wound appeared to be healing well, but I still experience some dull pain at the surgical site.
Recently, I noticed that the pain becomes more pronounced after slight contact during intercourse.
I would like to know if this is related to the internal healing process not being complete, and how long it might take for a full recovery.
Thank you!
Xiao Bei, 30~39 year old female. Ask Date: 2022/01/11
Dr. Li Zhonghuai reply Surgery
Hello! If the wound has completely healed and there are no hematomas internally, it will generally improve once the sensory nerves have repaired.
I usually add muscle relaxants and vitamin B12.
Take care! Changhua Hospital cares about you!
Reply Date: 2022/01/11
More Info
After undergoing surgery for a phyllodes tumor, it is not uncommon to experience some degree of pain or discomfort in the surgical area, especially in the weeks following the procedure. Phyllodes tumors, which are rare fibroepithelial tumors of the breast, can require significant surgical intervention, including lumpectomy or mastectomy, depending on the size and extent of the tumor.
In your case, since the surgery was performed only about two weeks ago, it is expected that you may still experience some pain as your body heals. Surgical pain can be attributed to several factors, including the trauma to the tissues during the operation, inflammation, and the healing process itself. The pain you are experiencing could be a sign that the internal tissues are still healing, and it is quite normal for this to take several weeks to months, depending on individual healing rates and the extent of the surgery.
Typically, the initial healing of the skin and superficial tissues may occur within a few weeks, but deeper tissues, including muscles and connective tissues, may take longer to heal completely. It is not unusual for patients to experience intermittent pain or discomfort for several weeks post-surgery, especially if there is any physical activity that puts strain on the surgical site, such as sexual activity or heavy lifting.
In terms of recovery time, most patients can expect significant improvement in pain levels within 4 to 6 weeks post-surgery, but complete healing may take longer. If the pain persists beyond this timeframe or worsens, it is essential to consult your surgeon or healthcare provider. They may want to evaluate for any potential complications, such as infection or seroma (a collection of fluid that can develop after surgery).
To manage your pain effectively, consider the following recommendations:
1. Pain Management: Use prescribed pain medications as directed. Over-the-counter pain relievers like acetaminophen or ibuprofen can also help alleviate discomfort, but consult your doctor before taking any new medications.
2. Activity Modification: Avoid activities that may strain the surgical site, including heavy lifting, vigorous exercise, or any movements that cause discomfort. If sexual activity is causing pain, it may be wise to wait until you feel more comfortable.
3. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. They will monitor your healing progress and address any concerns you may have.
4. Wound Care: Keep the surgical site clean and dry, and follow any specific care instructions provided by your healthcare team to prevent infection.
5. Physical Therapy: If pain persists or if you experience limited mobility, your doctor may recommend physical therapy to aid in recovery and improve function.
In summary, while some pain after phyllodes tumor surgery is normal, it is crucial to listen to your body and communicate with your healthcare provider about your symptoms. They can provide personalized advice and ensure that your recovery is on track. If you have any concerns about your pain or healing process, do not hesitate to reach out to your medical team for guidance.
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