Srs complications

[mythaisrs]

I had Srs in 2013 in Thailand,  but due to issues I couldn't maintain dilation and as a result I now have a lot of skin over-granulation, I saw a gyno today who said that its to bad to treat with silver nitrate and that I would need surgery to A: remove granulation B: so they can access things inside.
They said I would need to be put out for the surgery with anaesthetic as it maybe to painful.

My worry is that my local NHS (UK) hospital would  not have come across this type of surgery/issues before and would not be familiar with a neo vagina and I a, worries that I will wake up and things will be worse.

Originally the skin granulation was under control and was being treated with silver nitrate but then the nurse left and there was a waiting list (if spent the last year waiting to even get it seen to) since the last silver nitrate treatment over a year ago the granulation worsened.

Bottom line I think I would seek a second opinion from someone who deals with srs like phill Thomas.

It scares the &@£&£ out of me.

If read a lot and the net says that surgery for granulation removal should be the last form of treatment, yet the NHS hasn't tried any other form of treatment and even if they operate I am pretty sure they won't use lasers to remove the overgranulation which would have many benefits.

I wish I knew what risks there were if it was left untreated and Sophie's advice was that skin granulation would heal on its own if given time.

Bleeding is a issue from skin granulation but only if a bit of granulation tissue breaks down, it then bleeds for a few mins but we manage to stop using cotton wool or laying down with my legs elevated.

It's a pretty ->-bleeped-<-ty situation but Psychologically I couldn't cope with dilation because I was in crisis with my mental health, so much so that I ended up in a psych ward, which was unrelated to surgery.

[mm]

mythairs, A second opinon or even a third is probably a good choice now.  Can you still dialate at all and how much depth and width have you lost.  Being put under so your complete vagina can be checked is probably a good idea, for it will probably be very painful if you were not under.

[Rejennyrated]

First of all I'm sorry to hear of your difficulties. Secondly I wouldn't worry too much - while your local hospital may not have much experience with post SRS complications the surgeons at several major NHS hospitals do have such experience and are well able to put this right.

Granulation tissue formation is a normal part of wound healing which unfortunately in your case has got slightly out of control. You are of course correct that other remedies are usually tried first but if the position and extent of the problem is tricky surgery may indeed be the best option.

Please don't worry I'm sure it will be resolved - but in the meantime you can help yourself by continuing to tend the area as best you can, and indeed I think if you have the means to see James Bellringer, Phil Thomas or indeed the new surgeon and Charing Cross, for an assessment that may indeed be a wise move.