Recovery Time After Mole Removal Surgery

Recovery time after mole removal surgery?

Hello, doctor.
I have read that using an ultrasound knife may lead to slower wound healing.
What is the reason for this? I underwent a self-paid ultrasound knife procedure to remove a pilonidal cyst on July 26.
Since my first bowel movement until today, I have experienced significant pain each time and have to exert a lot of effort in my abdomen to have a bowel movement.
On July 30, I could no longer tolerate the pain and returned for a follow-up appointment.
I informed the surgeon about the pain during bowel movements, difficulty in passing stool, and the stool being very thin.
The doctor examined me that day and said the wound looked fine, prescribing mild laxatives and stool softeners.

I would like to ask you a question: if anal stenosis makes it difficult for a finger to enter, would it still be possible to insert it with lubricant? Since the wound is still discharging today, does that mean it hasn't healed yet? Undergoing the pilonidal cyst surgery took a lot of courage, and I didn't expect to feel so miserable afterward.
I am very afraid that the pain during bowel movements is due to anal stenosis.
Generally, isn't it expected to heal completely within two to four weeks? I am now in the sixth week, and bowel movements are still extremely painful.
I thought I could endure it and that things would improve, but now I am starting to feel anxious again.
Thank you, doctor.

Ān Dōng Ní, 40~49 year old female. Ask Date: 2022/09/06

Dr. Ke Fangxu reply Surgery

Not all patients who undergo ultrasonic scalpel surgery experience delayed healing; in fact, the majority of patients typically heal normally.
I am not sure why this is the case.
However, if there is still discharge and pain one month after surgery, that is indeed unusual.
I recommend that you consult your surgeon to check if there is truly anal stenosis or if other factors are causing the anal pain.

Reply Date: 2022/09/06

More Info

After mole removal surgery, particularly when using advanced techniques like ultrasonic scalpel, patients may experience a prolonged recovery period due to several factors. The ultrasonic scalpel, while effective in minimizing bleeding and damage to surrounding tissues, can sometimes lead to slower healing times. This is primarily because the ultrasonic energy can create a more extensive thermal effect on the tissues, which may result in increased inflammation and a longer healing process.

In your case, experiencing significant pain during bowel movements six weeks post-surgery is concerning. It is not uncommon for patients to have discomfort after such procedures, especially if the surgery involved delicate areas. The pain you describe could be attributed to several factors, including the surgical site still healing, potential scarring, or even the development of anal stenosis (narrowing of the anal canal).
Anal stenosis can occur if there is excessive scar tissue formation, which can lead to difficulty during bowel movements. If you find that inserting a lubricated finger is challenging, it may indicate some degree of narrowing. However, it is essential to approach this situation with caution. Forcing anything into the anal canal can exacerbate the problem and lead to further injury or pain.

The presence of discharge from the surgical site can also be a sign that the wound is not fully healed. While some drainage can be normal, especially in the early stages post-surgery, persistent or increasing discharge may warrant further evaluation by your surgeon. It is crucial to monitor the characteristics of the discharge—if it becomes foul-smelling or changes in color, it could indicate an infection.

Regarding your anxiety about the healing process, it is understandable. Many patients expect to feel better within a few weeks, but recovery can vary significantly based on individual circumstances, the extent of the surgery, and personal health factors. It is essential to communicate openly with your healthcare provider about your symptoms. If the pain persists or worsens, or if you notice any signs of infection, you should seek a follow-up appointment.
In terms of management, here are a few suggestions that may help alleviate your discomfort:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to promote softer stools, which can ease the strain during bowel movements. Staying well-hydrated is also crucial.

2. Pain Management: Over-the-counter pain relief medications may help manage your discomfort. Consult your doctor about appropriate options.

3. Sitz Baths: Taking warm sitz baths can help soothe the area and promote relaxation, which may ease pain during bowel movements.

4. Gentle Exercises: If approved by your doctor, gentle pelvic floor exercises may help improve muscle tone and function, potentially easing bowel movements.

5. Follow-Up Care: Regular follow-ups with your surgeon are vital to monitor healing progress and address any complications promptly.

In conclusion, while it is common to experience discomfort after mole removal surgery, persistent pain and difficulty with bowel movements should be thoroughly evaluated. Open communication with your healthcare provider is essential to ensure a smooth recovery and to address any complications that may arise.

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