Managing Post-Surgery Care for Genital Warts: What to Do After Bleeding - Urology

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Cauliflower (Condylomata Acuminata)


Hello doctor, I would like to ask a question.
Recently, I noticed a small growth on my frenulum, and after a professional diagnosis by a urologist, it was identified as a wart.
I underwent laser surgery at that time.
Today, I thought the surgical wound had mostly healed and decided to masturbate, but I accidentally applied too much pressure, resulting in bleeding at the wound site.
What should I do? Is there a chance of recurrence?

Mr. Jiang, 20~29 year old female. Ask Date: 2023/07/27

Dr. Sun Hongshun reply Urology


Hello Mr.
Jiang: The bleeding from the wound and the recurrence of warts are two separate issues.
Please take care of the wound first.
Whether or not there is a recurrence depends on the quantity of subclinical or undetectable viral warts.
I hope this answers your question.

Reply Date: 2023/07/27

More Info


After undergoing laser surgery for genital warts, it's crucial to follow proper post-operative care to ensure healing and minimize complications. Bleeding from the surgical site, especially after engaging in activities like masturbation, can be concerning. Here’s how to manage the situation effectively:
1. Assess the Bleeding: First, determine the severity of the bleeding. If it is light and stops on its own within a few minutes, it may not be a cause for alarm. However, if the bleeding is heavy or continues for an extended period, you should seek medical attention immediately.

2. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using harsh soaps or scrubbing the area, as this can irritate the wound further. Pat the area dry with a clean towel.

3. Apply Pressure: If the bleeding is persistent, apply gentle pressure to the area with a clean cloth or sterile gauze for about 10-15 minutes. This can help to stop the bleeding.

4. Avoid Irritants: For the next few days, avoid any activities that can irritate the area, including sexual activity, vigorous exercise, or any form of masturbation. This will give the wound time to heal properly.

5. Monitor for Signs of Infection: Keep an eye on the surgical site for any signs of infection, such as increased redness, swelling, warmth, or discharge that is yellow or green. If you notice any of these symptoms, contact your healthcare provider.

6. Pain Management: If you experience pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can be taken as directed. However, avoid aspirin, as it can increase bleeding.

7. Follow-Up Care: It’s essential to attend any scheduled follow-up appointments with your healthcare provider. They can assess the healing process and address any concerns you may have.

8. Preventing Recurrence: While the risk of recurrence of genital warts exists, especially if the human papillomavirus (HPV) is still present in the body, maintaining a healthy immune system can help. This includes eating a balanced diet, exercising regularly, and avoiding smoking and excessive alcohol consumption. Additionally, consider discussing the HPV vaccine with your healthcare provider, as it can help prevent future infections from certain strains of the virus.

9. Emotional Support: Dealing with genital warts can be emotionally taxing. If you find yourself feeling anxious or depressed about your condition, consider reaching out to a mental health professional or a support group.

In summary, if you experience bleeding after your surgery, assess its severity, keep the area clean, apply pressure if necessary, and avoid activities that could irritate the wound. Monitor for signs of infection and attend follow-up appointments. While there is a possibility of recurrence, maintaining a healthy lifestyle and discussing preventive measures with your healthcare provider can be beneficial. Always prioritize your health and well-being, and do not hesitate to seek medical advice when needed.

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