title: Modified vulvar vestibulectomy: simple and effective surgery for the treatment of vulvar vestibulitis.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Hadassah University Hospital, Hadassah Medical Organization, Mt. Scopus, P.O.B. 24035, Jerusalem 91240, Israel. yuvallavy@yahoo.com
authors.forename: Yuval
authors.initials: Y
authors.lastname: Lavy
authors.forename: Ahinoam
authors.initials: A
authors.lastname: Lev-Sagie
authors.forename: Yaron
authors.initials: Y
authors.lastname: Hamani
authors.forename: David
authors.initials: D
authors.lastname: Zacut
authors.forename: Avraham
authors.initials: A
authors.lastname: Ben-Chetrit
mesh_terms: 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*