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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can An Itchy Lump Around A Sentinel Tag Removal Site Be Treated?

Hi, I underwent a left internal sphincterectomy for treating chroniq anal fissure last year. The sentinel tag was cut off also for better healing. The wound healed fine but some hard lump like gun shot ball at the ridge of the anal on the place of the sentinel tag was forming. It has the colour of the skin but is hard and irritates the area with itching, spasm and anoying pain, not all the time but often. When I wear a tight pants it gets worse. What can be done about that? Thank for the answer.
Fri, 4 May 2018
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General Surgeon 's  Response
Hello,

Hard lump like a gunshot the ball at the site of removal of the sentinel pile and later subcutaneous sphincterotomy can be due to the formation of a cyst or a scar and so on.
First of all get this checked out by the Surgeon to know the clinical diagnosis so that a proper management can be done.

Till then do Sitz bath in a tub with warm water. Keep the area clean and dry. Take a Laxative or a stool softener to keep the stools soft. Do not fondle the area for fear of the spread of infection.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant
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How Can An Itchy Lump Around A Sentinel Tag Removal Site Be Treated?

Hello, Hard lump like a gunshot the ball at the site of removal of the sentinel pile and later subcutaneous sphincterotomy can be due to the formation of a cyst or a scar and so on. First of all get this checked out by the Surgeon to know the clinical diagnosis so that a proper management can be done. Till then do Sitz bath in a tub with warm water. Keep the area clean and dry. Take a Laxative or a stool softener to keep the stools soft. Do not fondle the area for fear of the spread of infection. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant