PERSISTENT EPISIOTOMY GRANULATION POLYPS - A POLYSYMPTOMATIC CLINICALENTITY

We describe a number of patients with persistent symptoms of vaginal d ischarge and discomfort, dyspareunia and postcoital bleeding. They pre sented 2-4 months following delivery with episiotomy. In these patient s, the symptoms were associated with localised granulation tissue poly ps, on the episiotomy site. Simple ablation resulted in rapid and effe ctive relief of the symptoms. These lesions may be more common in clin ical practice than is suggested by the lack of published reports. They should be looked for in women who may suffer from symptoms for severa l months after delivery.