Managing Scar Tissue After Hemorrhoid Surgery: Tips and Treatments - Surgery

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Scar tissue after hemorrhoid surgery?


Hello, Director Ke.
I would like to ask you about my condition.
It has been 7 months since my hemorrhoid surgery, and I have some hard scar tissue that causes discomfort when sitting.
Regarding this scar tissue, I would like to ask: 1.
Will applying scar removal ointment help soften it? 2.
Are there any recommended ointments I can use? 3.
Will this scar tissue soften over time? What is the best way to manage it myself? Thank you!

Wu Changze, 40~49 year old female. Ask Date: 2014/01/13

Dr. Ke Fangxu reply Surgery


Hello: In response to your question, if the surgical wound from hemorrhoid surgery is larger, the scar tissue will also be more pronounced.
As long as there is no significant discomfort, the scar will soften after about six months to a year.
Applying scar ointment or hemorrhoid cream can help alleviate symptoms.
Even if left untreated, it will gradually improve over time.

Reply Date: 2014/01/13

More Info


Managing scar tissue after hemorrhoid surgery can be a significant concern for many patients, especially when discomfort arises from hardened scar tissue. Here are some insights and recommendations based on your questions:
1. Will applying scar removal ointment help soften the scar tissue?
Yes, applying scar removal ointments can potentially help soften scar tissue. These ointments often contain ingredients like silicone, which has been shown to improve the appearance of scars by hydrating and flattening them. Silicone gel sheets or silicone-based creams are commonly recommended for scar management. They work by creating a protective barrier over the scar, which helps to retain moisture and promote healing. However, the effectiveness can vary from person to person, and it may take several weeks to notice improvements.

2. Are there any recommended ointments for scar treatment?
There are several over-the-counter products that you might consider. Look for silicone-based gels or sheets, as they are widely recognized for their efficacy in scar management. Brands like Mederma, ScarAway, and Kelo-cote are popular choices. Additionally, some people find that vitamin E oil or creams containing aloe vera can also be soothing and may help with the appearance of scars. However, it’s essential to consult with your healthcare provider before starting any new treatment to ensure it’s appropriate for your specific situation.

3. Will the scar tissue soften over time?
Scar tissue can change over time. Initially, scars may appear raised, hard, or discolored, but they often become softer and less noticeable as time passes. This process can take several months to years, depending on various factors, including the individual’s healing response, the type of scar, and the location of the scar. Regularly massaging the scar tissue can also promote blood flow and may help in softening the scar over time. Use a gentle, circular motion with a moisturizing lotion or oil to massage the area.

4. How can I manage the discomfort from scar tissue?
To manage discomfort associated with scar tissue, consider the following strategies:
- Gentle Massage: Regularly massaging the scar tissue can help break down the dense fibers and promote flexibility. Use a moisturizing lotion or oil to reduce friction.

- Warm Compresses: Applying a warm compress to the area can help relax the tissue and alleviate discomfort.

- Avoid Pressure: When sitting, try to use cushions or padded seats to reduce pressure on the scarred area. This can help minimize discomfort during prolonged sitting.

- Stretching Exercises: Gentle stretching of the surrounding muscles can improve circulation and flexibility, which may help reduce discomfort.

- Consult a Specialist: If the discomfort persists or worsens, consider consulting a physical therapist or a dermatologist specializing in scar management. They may offer treatments such as laser therapy, steroid injections, or other modalities to improve the scar's appearance and reduce discomfort.

In conclusion, while scar tissue is a natural part of the healing process, there are various methods to manage and potentially improve its appearance and associated discomfort. Regular care, including the use of appropriate ointments and gentle massage, can contribute to better outcomes. Always consult with your healthcare provider before starting any new treatment to ensure it aligns with your specific needs and circumstances.

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