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Hysterectomy Granulation and Post Op Bleeding

Hysterectomy granulation (also known as vaginal vault granulation) is the growth of scar tissue at the top of the vagina when the cervix has been removed. It isn’t common, dangerous or serious but it can cause discomfort, pain and some post operative bleeding. If you were to see it, it might look like raw tissue and it might have raised nodules as well. A study in 1998 found that 34% of the women followed suffered granulation after a total abdominal hysterectomy.

(http://www.sciencedirect.com/science/article/pii/S002072929800054X)

finger with granulation tissueThe scar tissue from hysterectomy granulation occurs before the vaginal cuff that is left after the cervix is removed, has healed properly and means that the cut takes longer to heal than normal. It is thought that it occurs because internally the wound can’t be kept dry and the moistness is what prevents healing from happening at the normal rate.

Checking for hysterectomy granulation is one of the most common reasons to have a check up at around six weeks. By this time the stitches should have been absorbed and the cut at the top of the vagina should have healed. Not all women are offered a six week check up at the hospital; if this is the case for you you may wish to make an appointment with your GP instead.

What is the treatment for hysterectomy granluation?

Treatment for hysterectomy granulation can be simple and might involve the application of silver nitrate to the wound which can be painful for a few women, or the cauterisation of the wound. This doesn’t involve an inpatient appointment and most women will return home the same day treatment takes place. If you are treated with silver nitrate then it is common to have a little discharge for a few days after the treatment.

Alternatively, you may wish to leave it for a few weeks to see if it all heals quite naturally and of it’s own accord.

89 thoughts on “Hysterectomy Granulation and Post Op Bleeding

  1. Thank you so much.
    I had a Hysterectomy 6 weeks ago. The pink discharge I had after the surgery had cleared for two weeks and then started back. I was a little concerned, but my GYN said it was granulation of the tissue, and I should not worry. I do worry and this explains it well, and for those of us that require more detailed information about what is happening to our bodies this was wonderful to find.

  2. Thanks for the forum. I feel less crazy. I had total hysterectomy(due to prolapse) on 9/27/2016 with an accidental bladder injury which was repaired as well as a sling placed. I had a catheter for 16 days. 3 months later I am dealing with granulation and my uno-gynocologist said surgery would need to happen if this didn’t get better over time. She never suggested silver nitrate so thank you for that info. 2 1/2 months from surgery I developed what I, without doubt, believe to be a high rectovaginal fistula. Uro-gyno said that she doesn’t believe that it is a fistula and that it could not have happened as a result of the surgery. She couldn’t provide an explanation for my very clear cut fistula symptoms so she was going to send me for tests. I asked that my gastroenterologist surgeon be copied on results and that is when she decided to consult him before doing anything for me. It’s been a couple days so far and no word. I also have an appointment with the gastroenterologist but he is in high demand so I thought I could get a jump on diagnosis and maybe treatment by going to my uro-gyno. Apparently not.
    The gyno, who performed the hysterectomy, and the uro-gyno are in the same medical practice and I really think that they are in panic mode; afraid that I will sue. I have no plans to sue. Their error and my complications have caused a rift that has impaired my ability to get good care from them. The gyno didn’t even visit me in the hospital after the botched hysterectomy. I was in for all or part of 3 days. On the second day a nurse, who was not happy with this fact, told me that she(the gyno) had been in the hospital all day. The next day another nurse made a point to pop in for the sole purpose to tell me that my gyno stopped in but didn’t have the heart to wake me. I call B.S. on that. All of my many other docs (gyno’s resident, who asked daily if gyno had been to see me yet and was always surprised at the answer, the chief of surgery, my bladder surgeon, the uro-gyno all visited me daily). I think my gyno was running scared.
    This has been a very frustrating process. But on the bright slide the bladder sling works great. I can now cough and sneeze without peeing myself -Yay!

  3. I had a hysterectomy 30 yeArs ago now getting bleeding the hospital have done two biobsys and they say it’s granulation what can be done for this they its the vault of the womb

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