What is vestibulectomy surgery?

A vestibulectomy involves surgically removing the painful tissue. It is typically performed as an outpatient procedure. A vestibulectomy is not done for women with generalized vulvodynia, or chronic pain felt throughout the entire vulva region.

How long does it take to recover from a vestibulectomy?

Recovery. The recovery period is about 6–12 weeks, depending on the amount of vulvar tissues removed. Post-surgery, the patient might need further physical and possible mental therapy to avoid scarring and lead a regular sexual life.

What is the surgery for vulvodynia?

When is surgery recommended for vulvodynia? A vestibulectomy is the removal of the painful tissue from the part of the vulva called the vestibule. It can be used for women who have vulvodynia specific to this area and for whom other treatments have not worked.

Can surgery cure vulvodynia?

In cases of localized vulvodynia or vestibulodynia, surgery to remove the affected skin and tissue (vestibulectomy) relieves pain in some women.

What is the best treatment for vulvodynia?

Vulvodynia Treatments

  • Local anesthetics, such as lidocaine.
  • Topical estrogen creams.
  • Tricyclic antidepressants.
  • Anticonvulsants.
  • Nerve blocks.
  • Serotonin-norepinephrine reuptake inhibitors.
  • Neurostimulation and spinal infusion pump.
  • Medications with anti-inflammatory effects such as steroids or mast cell inhibitors.

Does vulvodynia get worse over time?

Sexual intercourse, walking, sitting, or exercising can make the pain worse. Vulvodynia usually starts suddenly and may last for months to years. Although it isn’t life threatening, the pain may make you cut back on some of your normal activities.

How should I sit after vulvectomy?

If you have had lymph nodes removed, you may have swelling in your legs. To prevent this, wear TEDS stockings during the day and sit with your legs raised as much as you can. Avoid wearing tight clothing over your incision. Constipation is a common problem after surgery Pain medicines can make it worse.

Is a vulvectomy painful?

Risks and side effects of vulvectomies Following surgery, the site may be swollen, bruised and painful. Depending on the extent of tissue removal, the vulva may be noticeably different in appearance.

Will I have vulvodynia forever?

Yes, vulvodynia may last a lifetime and can be severe or mild. Women suffer with the simple activities like sitting for prolonged periods or struggle with more complex issues like having pain with sex or in between periods.

How long does it take for a vulvectomy to heal?

Most women recover and are back to most activities in 2-3 weeks. You may need a family member or a friend to help with your day to day activities for a few days after surgery.

How long does it take to heal from a vulvectomy?