Why Isn't My Varicocele Surgery Wound Healing Properly? - Urology

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Why hasn't it healed yet?


Doctor, it has been almost a month since I had varicocele surgery.
The wound is about 3 centimeters long, but for some reason, the middle part of the wound hasn't healed and there are two small holes that sometimes bleed.
Could there be something inside causing inflammation? I had a similar situation when I injured my leg before, and it was because there were leftover suture ends in the wound that weren't cleaned out properly.
However, for varicocele surgery, they should have used absorbable sutures, right? Why is this happening? The other areas have healed.

A-Ming, 20~29 year old female. Ask Date: 2005/12/02

Dr. Xu Weikai reply Urology


Hothot235: Hello, I would like to consider two scenarios: 1.
Wound infection, which means that the wound may have come into contact with water or other substances, leading to infection.
2.
Allergic reaction to the sutures, which indicates an allergic response to the stitching material.
The recommended solution is to return to the outpatient clinic.
If necessary, the wound may need to be reopened, cleaned, and packed with gauze for drainage, which will promote faster healing.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/12/02

More Info


It sounds like you're experiencing some concerning issues with your varicocele surgery wound healing. It's understandable to feel anxious when a surgical site isn't healing as expected, especially after a month has passed. Let's break down some potential reasons for your situation and what you might consider doing next.

Firstly, it's important to recognize that surgical wounds can heal at different rates depending on various factors, including the type of surgery, the individual's health, and how well post-operative care instructions were followed. In your case, the presence of two small holes in the wound that occasionally bleed could indicate several possibilities:
1. Infection: One of the most common complications after surgery is an infection. Signs of infection can include redness, swelling, warmth around the wound, and discharge. If you notice any of these symptoms, it’s crucial to contact your healthcare provider immediately.

2. Suture Issues: While absorbable sutures are typically used in varicocele surgeries, there can be instances where the sutures do not dissolve as expected or where remnants of the sutures remain. This can lead to irritation or inflammation, causing the wound to not heal properly. If you suspect that there may be leftover suture material, it would be wise to have your surgeon evaluate the wound.

3. Wound Dehiscence: This is a condition where the edges of a surgical wound separate. It can occur due to tension on the wound, infection, or inadequate healing. If the wound is not properly closed or if there is excessive movement in the area, it can lead to dehiscence, which may explain the small holes you are observing.

4. Underlying Health Conditions: Certain health conditions, such as diabetes or vascular issues, can impair wound healing. If you have any underlying conditions, they could be contributing to the slow healing of your surgical site.

5. Foreign Body Reaction: In rare cases, the body may react to materials used during surgery, even if they are meant to be absorbable. This can lead to inflammation and delayed healing.

Given your previous experience with a wound that did not heal properly due to retained suture material, it’s understandable to be concerned that something similar might be happening now. However, the fact that other areas of your wound are healing well is a positive sign.


Recommendations:
1. Consult Your Surgeon: The best course of action is to return to your surgeon for a follow-up appointment. They can assess the wound, check for signs of infection, and determine if any foreign material is present.

2. Monitor for Symptoms: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, seek medical attention promptly.

3. Avoid Strain: Ensure that you are not putting undue strain on the surgical site. Avoid heavy lifting or strenuous activities that could affect the healing process.

4. Follow Post-Operative Care Instructions: Make sure you are following any post-operative care instructions provided by your surgeon, including keeping the area clean and dry.

5. Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another healthcare provider may provide you with additional insights and peace of mind.

In conclusion, while it can be distressing to have a surgical wound that is not healing properly, there are several potential explanations, and many of them can be addressed with appropriate medical care. Your health and recovery are paramount, so do not hesitate to reach out to your healthcare provider for assistance.

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