After the recovery from a ligament injury, a V-shaped mass of tissue has formed at the wound site?
Hello doctor, I would like to ask a question.
In 2021, I sustained a tear in my ligament due to sexual activity.
Three years later, after the wound healed, a small V-shaped protrusion resembling a piece of flesh has developed, positioned like a peace sign ✌🏻 with the underlying ligament.
It has been growing larger over time, but there is no itching or pain during sexual activity.
Do I need to consider surgical removal of this?
Youyu, 20~29 year old female. Ask Date: 2024/03/25
Dr. Lin Wenxu reply Urology
Hello, Mr.
Squid: If there are no discomforts, no treatment is necessary; observation is sufficient.
Dr.
Lin Wen-Hsu, Urology Department, Nantou Hospital.
Reply Date: 2024/03/25
More Info
When dealing with a V-shaped tissue growth following a ligament injury, it is essential to understand the nature of the growth and its implications for your health and well-being. Based on your description, it seems that you may be experiencing a form of scar tissue or a keloid, which can occur after an injury. Keloids are raised areas of scar tissue that form at the site of an injury and can sometimes grow larger than the original wound. They are often benign but can cause discomfort or cosmetic concerns.
Given that the growth is becoming larger and you are considering removal, here are some factors to consider:
1. Nature of the Growth: If the V-shaped tissue growth is not causing pain or discomfort during sexual activity, it may not require immediate removal. However, if it continues to grow, becomes painful, or affects your quality of life, surgical intervention may be warranted.
2. Consultation with a Specialist: It is advisable to consult with a healthcare professional, preferably a dermatologist or a plastic surgeon who specializes in scar management. They can assess the growth and determine whether it is indeed a keloid or another type of tissue growth. A thorough examination will help in deciding the best course of action.
3. Treatment Options: If removal is deemed necessary, there are several options available:
- Surgical Excision: This is a common method for removing keloids or excessive scar tissue. However, there is a risk that the keloid may return after removal.
- Steroid Injections: These can help flatten the keloid and reduce its size. This treatment is often used in conjunction with surgical removal.
- Laser Therapy: This can be effective in reducing the appearance of keloids and may also help in flattening them.
- Silicone Gel Sheets: These can be applied to the area to help flatten the scar over time.
4. Monitoring: If the growth is not causing any issues, regular monitoring may be an option. Keeping an eye on its size and any changes in texture or color can help you decide when to seek further treatment.
5. Psychological Impact: Consider the psychological aspect of having this growth. If it affects your self-esteem or body image, discussing these feelings with a healthcare provider can be beneficial. They can provide support and options to address these concerns.
6. Post-Removal Care: If you decide to proceed with removal, follow-up care is crucial to minimize the risk of recurrence. This may include using silicone sheets, applying topical treatments, or undergoing additional therapies as recommended by your healthcare provider.
In conclusion, while the V-shaped tissue growth may not currently be causing discomfort, its increasing size warrants a professional evaluation. A healthcare provider can help you understand the nature of the growth and discuss potential treatment options, including the possibility of removal. It is essential to weigh the benefits and risks of any procedure and to consider your overall health and lifestyle when making this decision.
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