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.


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.

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