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C) Topical steroids are a good first line treatment option and should always be tried
D) Cancer (SCC, Urothelial carcinoma etc.) must ALWAYS be excluded with biopsy
A) Observation
B) Aggressive debridement
C) Lasering
D) Antibiotics
3) What is the MOST ACCURATE comment about Hypergranulation at an SPC exit site:
ANSWERS
Q1 Answer B: Skin excoriation/trauma is definitely a cause of hypergranulation and is a good first line treatment to remove
the cause; A) Infection is actually not a relatively common association yet many unnecessary wound swabs are taken and
st
actively treated; steroids are rarely a good 1 line treatment option and are reserved for refractory cases; D) Cancer must
occasionally be excluded with biopsy
Q2 Answer A: Observation is an accepted first line option- it may settle down or not get worse (removing precipitants also
done etc.); B) and C) Lasering and debridement to be avoided; D) Antibiotics only if true infection as they tend to be
overused
Q3 Answer C: Loose or tight catheters may contribute to hypergranulation so may necessitate change in size; A) and B)
incorrect whilst D) Is partly true that SCC risk increased in bladder after years but not necessarily SPC site