Modified vulvar vestibulectomy: simple and effective surgery for the treatment of vulvar vestibulitis.
OBJECTIVE
To evaluate the success of a simple modified vestibulectomy in treating vulvar vestibulitis.


METHODS
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.


RESULTS
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.


CONCLUSIONS
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.
Lavy
Yuval
Y
Department of Obstetrics and Gynecology, Hadassah University Hospital, Hadassah Medical Organization, Mt. Scopus, P.O.B. 24035, Jerusalem 91240, Israel. yuvallavy@yahoo.com
Lev-Sagie
Ahinoam
A
Hamani
Yaron
Y
Zacut
David
D
Ben-Chetrit
Avraham
A
D000328:Adult; D004414:Dyspareunia / Q000209:etiology / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D010146:Pain; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000150:complications; D011183:Postoperative Complications; D016896:Treatment Outcome; D014844:Vulva / Q000473:pathology; D014847:Vulvitis / Q000150:complications / Q000473:pathology / Q000601:surgery*