Vestibulectomy

Vestibulectomy

Surgical removal of the vestibule and hymen.
Mentioned in: Vulvodynia
References in periodicals archive ?
Vestibulectomy is recommended as a last resort when distinct mucosal involvement occurs.
If vaginismus is present, treat that before sending the patient to vestibulectomy, which may alleviate symptoms in 60%-85% of cases.
However, vestibulectomy resulted in approximately twice the pain reduction of the two other treatments.
But in a subsequent randomized trial comparing biofeedback with vestibulectomy and cognitive-behavioral therapy, significant improvements in pain were seen in only 24% of the biofeed-back patients (Pain 91[3]:297-306, 2001).
Patients with vestibulitis who don't respond to any of these approaches may wish to consider vestibulectomy, which can be very effective in properly selected candidates.
In many women, however, vestibulectomy is required to eliminate symptoms.
Of the 81 patients who did not respond within 6 months to conservative treatment, 56 agreed to undergo vulvar vestibulectomy with perineoplasty.
Histologic evidence of lichenoid vulvar or vaginal disease was found in the majority of women who underwent vestibulectomy for vulvar vestibulitis at a Milwaukee vulvar disease referral center.