This topic is about dealing with persistent granulation tissue around a stoma, which can be painful and bleed. An ostomate, who has had an ileostomy since 2008, experienced this issue repeatedly. They tried using silver-nitrate sticks for relief, but the results were only temporary. Seeking a more permanent solution, they opted for fulguration surgery, which involves using electro or laser techniques to remove the excess tissue, possibly with some repair around the stoma. Understandably, they felt nervous about the procedure due to past surgical experiences. They reached out to see if others had undergone similar procedures and promised to share their experience.

Here are some insights and advice based on their journey:

1. After the surgery, the initial pain was moderate, and they were able to stop taking narcotics the day after being discharged. The first pouch change at home showed that the stoma was healing well. However, the hospital staff had placed the pouch sideways, which is common for in-patients, but it was uncomfortable until they changed it.

2. Several months after the procedure, the granulation tissue had not returned, and they felt that fulguration was the right decision.

3. Many surgeons still use repeated silver-nitrate cauterization as a standard treatment. Some ostomy nurses also suggest using Silver PolyMem dressings, which are effective but can be costly.

4. If silver nitrate treatments are not successful or the tissue keeps coming back, consider discussing fulguration with your surgeon as a potentially longer-lasting solution.

5. For post-operative comfort, be aware that hospital pouches are often positioned sideways for patients who are bed-bound. Adjusting or replacing the pouch at home can help avoid discomfort.