About Drainage of Vulval Hematoma
Key Highlights
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Provides immediate relief from severe pain and pressure caused by the hematoma.Prevents complications such as infection, abscess formation, or tissue necrosis.Promotes faster healing and recovery of the affected vulval tissues.Helps restore normal anatomical structure and function of the vulva.Typically a straightforward procedure with a relatively short duration.
Who is this surgery for?
- Large or expanding vulval hematoma causing significant pain and discomfort.
- Hematoma following childbirth, especially after instrumental delivery (forceps/vacuum), episiotomy, or perineal laceration repair.
- Significant swelling that interferes with urination or causes urinary retention.
- Signs of infection within the hematoma, such as increased redness, warmth, or purulent discharge.
- Failure of a small hematoma to resolve with conservative management (ice packs, pain medication).
- Hematoma resulting from gynecological surgery or vulval trauma.
How to prepare
- A thorough clinical examination and possibly an ultrasound to assess the size and extent of the hematoma.
- Discussion of the procedure, anesthesia options (local, regional), risks, and benefits with the obstetrician-gynecologist.
- Informed consent for the surgical drainage procedure.
- Pre-operative blood tests may be ordered to check hemoglobin levels and coagulation profile.
- The vulval area will be cleaned and shaved if necessary.
- Administration of prophylactic antibiotics may be considered to prevent infection.
Risks & possible complications
- Bleeding during or after the procedure.
- Infection at the incision site or within the drained cavity.
- Recurrence of the hematoma (re-accumulation of blood).
- Pain, bruising, and swelling at the surgical site.
- Scarring or changes in vulval skin sensation.
- Rare risk of damage to nearby structures.
- Reaction to anesthesia (local or regional).
Recovery & hospital stay
- Immediate pain relief is often significant after pressure is released.
- Oral pain medications and antibiotics may be prescribed post-procedure.
- Keeping the area clean and dry is essential; gentle cleansing with water during bathing is advised.
- Use of ice packs (wrapped in a cloth) on the area can help reduce swelling and discomfort.
- Wearing loose, cotton underwear and avoiding tight clothing to minimize friction.
- Avoiding strenuous activity, heavy lifting, and sexual intercourse for the period advised by the doctor (typically 4-6 weeks).
- Follow-up appointments are necessary to ensure proper healing and check for signs of infection.
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Typical hospital stay: 1-3 days
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Expected recovery time: 2-6 weeks
Frequently Asked Questions
If you are considering drainage of vulval hematoma in India, these questions and answers can help you make a confident, informed decision.
Popular choices for drainage of vulval hematoma in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform drainage of vulval hematoma. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for drainage of vulval hematoma compare across other countries where we have data.
Top hospitals for Drainage of Vulval Hematoma in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing drainage of vulval hematoma.
John Malhotra, a 45-year-old transgender man,...
John Malhotra, a 45-year-old transgender man, presented with intense pelvic pain and a large, discolored swelling. He had undergone gender-affirming vaginectomy and phalloplasty six weeks prior. He was deeply distressed, fearing surgical failure and infection, and was reluctant to seek care due to past negative healthcare experiences. His surgeon identified a postoperative vulval (neophallus base) hematoma. The doctor affirmed John's identity, explained this was a known surgical risk, not a failure, and recommended drainage to prevent tissue damage and aid healing. The procedure was performed in the operating room. The physical relief was instant. His recovery involved wound care and antibiotics. Emotionally, he transitioned from anxiety and dysphoria, feeling betrayed by his body, to feeling validated and cared for. The respectful treatment reinforced his trust in medical care and his surgical journey.
Obstetrics and Gynaecologists for Drainage of Vulval Hematoma
Explore experienced obstetrics and gynaecologists who regularly perform drainage of vulval hematoma and provide pre- and post-operative care in India.
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Manipal Hospital Old Airport Road, Bangalore
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Manipal Hospital Old Airport Road, Bangalore