A hard lump suddenly appeared several years after episiotomy.

Mar 02, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

A hard lump appearing years after an episiotomy may be caused by keloid formation, scar contracture, polyps, or other reasons, and can be treated with laser therapy or surgery. This condition commonly occurs in individuals with a predisposition to scarring and results from excessive fibrous tissue repair following trauma. Besides the above factors, cysts or other conditions could also be responsible. It is recommended to seek medical evaluation at a hospital for accurate diagnosis and to avoid misdiagnosis.

A hard lump appearing years after an episiotomy may be caused by factors such as scar hypertrophy, scar contracture, or polyps, and can be treated with laser therapy or surgery.

1. Scar Hypertrophy

This commonly occurs in individuals with a predisposition to scarring and results from excessive fibrous tissue repair following trauma. It may clinically present as a sudden appearance of a hard lump years after an episiotomy. If it affects appearance, laser treatment can help fade and eliminate the scar.

2. Scar Contracture

This often develops after burns, injuries, or surgical wounds when granulation tissue heals. It may cause the aforementioned symptoms and can also lead to functional impairment. It is recommended to seek treatment at a reputable hospital, such as undergoing scar release surgery for contracture.

3. Polyps

These are benign lesions, appearing as growths on epithelial or mucosal surfaces, and are prone to inflammatory infections. Symptoms may include a hard lump and redness, requiring treatment through polyp excision.

Besides the above causes, cysts or other conditions could also be responsible. It is advisable to visit a hospital for proper diagnosis to avoid misjudgment.

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