Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy

Post-operative fecal leakage after minimally invasive surgery?

Hello Doctor, I underwent a minimally invasive hemorrhoidectomy using Thunderbeat on July 3rd, primarily removing external hemorrhoids at the 12 o'clock and 6 o'clock positions.
I had inquired about this before, and now that it's been almost four weeks post-surgery, the pain and bleeding have improved significantly.
However, I have noticed that my anal area is often moist, and when I wipe with toilet paper, there is an unpleasant odor, similar to fecal matter.
I find myself needing to wipe several times a day.
Is this normal? Are there ways to improve this situation? If I consult my original surgeon and they say there is no issue, should I seek a second opinion from another doctor? Thank you for your patient response.

Miss Lin, 50~59 year old female. Ask Date: 2023/07/30

Dr. Zhang Shuhao reply Surgery

If the wound has not fully healed four weeks post-surgery, there may still be serous drainage.
If diarrhea occurs, there may also be a small amount of fecal leakage, but it typically is not enough to cause significant incontinence.
Maintaining cleanliness and avoiding diarrhea can help improve the situation once the wound has healed.

Reply Date: 2023/07/30

More Info

After undergoing a minimally invasive hemorrhoidectomy using the Thunderbeat technique, it is not uncommon to experience some postoperative concerns, including moisture and odor in the anal area. These symptoms can be distressing, but understanding their causes and management strategies can help alleviate your concerns.

Firstly, it's important to recognize that after surgery, the area around the anus may still be healing. The presence of moisture and odor can be attributed to several factors, including:
1. Wound Healing: The surgical site may still be producing some discharge as it heals. This can sometimes be mistaken for fecal matter, especially if there is any residual blood or serous fluid.

2. Hygiene Practices: Post-surgery, maintaining proper hygiene is crucial. If the area is not cleaned adequately, it can lead to odor and discomfort.
3. Dietary Factors: Your diet can also influence bowel movements and the consistency of your stool, which may contribute to the sensation of moisture and odor.

4. Infection: Although less common, an infection at the surgical site can lead to increased discharge and odor. Signs of infection may include increased pain, redness, swelling, or fever.

To manage these symptoms, consider the following recommendations:
- Hygiene: Ensure that you are cleaning the area gently but thoroughly after each bowel movement. Using moist wipes or a bidet can be more effective than dry toilet paper. Pat the area dry afterward to minimize moisture.

- Clothing Choices: Wear breathable, cotton underwear to help keep the area dry. Avoid tight-fitting clothes that can trap moisture.

- Dietary Adjustments: Maintain a high-fiber diet to ensure regular bowel movements and prevent straining. Staying hydrated can also help keep stools soft.

- Topical Treatments: If you notice irritation, consider using a barrier cream or ointment recommended by your healthcare provider to protect the area.

- Follow-Up Care: If your symptoms persist or worsen, it is essential to follow up with your original surgeon or seek a second opinion from another healthcare provider. They can assess for any complications, such as infection or improper healing.

In summary, while some moisture and odor can be normal during the healing process after a hemorrhoidectomy, persistent or worsening symptoms warrant further evaluation. Maintaining proper hygiene, making dietary adjustments, and consulting with your healthcare provider can help manage these concerns effectively. Always prioritize your comfort and health, and do not hesitate to seek medical advice if you feel something is amiss.

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