I'm new here (like 3 minutes), and read about the hyper granulation. I had that once, but a visit to my family doctor cleared it up. Dr. Brassard recommended doing that first...your doctor will know what to do.
I had my surgery in 2014 with Brassard. Amazing experience, wonderful man, and staff there in Montreal is top notch.
If I could offer any advice, try to stick to your dilation schedule as much as possible. Gosh, those first few weeks, seemed all I did was dilate, bath, shower.
Now it's just one dilation a week. Time will fly!!
Good luck