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Modified vulvar vestibulectomy: simple and effective surgery for the treatment of vulvar vestibulitis

2005; Elsevier BV; Volume: 120; Issue: 1 Linguagem: Inglês

10.1016/j.ejogrb.2004.04.039

1872-7654

Yuval Lavy, Ahinoam Lev‐Sagie, Yaron Hamani, David Zacut, Avraham Ben‐Chetrit,

Genital Health and Disease

To evaluate the success of a simple modified vestibulectomy in treating vulvar vestibulitis.Fifty-nine patients with vulvar vestibulitis refractory to nonsurgical treatment underwent modified vestibulectomy. Response was defined as return to normal coitus and was graded as complete, partial or non-responsive.The postoperative follow-up period was 6 months-10 years. Thirty-nine (73.6%) patients reported complete response, 7 (13.2%) had partial response, and 7 (13.2%) were non-responsive to surgery.Surgery is an effective treatment for vulvar vestibulitis refractory to conservative treatment. Simple modified vestibulectomy is considerably less invasive, technically simpler and probably less time consuming. Postoperative results employing this surgical procedure are found to be in line with postoperative results reported by others who employ surgical methods that are more extensive.