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Bleeding after Episiotomy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi,
Doctor :   How can I help you ?
User :   i had an episiotomy many years ago and have recently noticed small amounts of blood on underwear. i had a colonoscopy last month and the md said all was normal, but i have a hemmoroid and/or polyp externally--i think this is scar tissue from my episiotomy , i noticed that i seem to have more tissue down there and have had the minor bleeding for several months (but no pain). he has referred me to a surgeon , but does this sound like something to worry about?
Doctor :   the scan dehiscence from a episiotomy wound is common
Doctor :   But bleeding due to haemorrhoids has to be ruled out by a detailed gynec examination
User :   sorry--what is the scan dehiscence?i had an exam recently and all was normal
Doctor :   i meant a Scar loosening
Doctor :   Have you got a pervaginal examination done ?
Doctor :   By a gynecologist , to consider the scar dehiscence being the cause ?
User :   not sure, i just went for my annual exam---can this tissue just be removed in an office visit?
Doctor :   no , it needs a minor OT procedure
Doctor :   may be done as a day care surgery
Doctor :   admitted on a day and discharged the same
User :   does it involve any muscle tissue or affect the anal sphincter----the tissue is closer to the anus and i am concerned about complications
Doctor :   yes ,it might have involved a muscle , but the anus is secured well from it
User :   so, it is unlikely to cause any fecal incontinece issues?
Doctor :   and is well separated by stronger structure called Perineal body
Doctor :   yes , unlikely
User :   ok, thanks for your input
Doctor :   You are welcome
Doctor :   Thanks for consulting me , kindly provide your feedback
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