A vestibulectomy is a gynecological surgical procedure that can be used to treat vulvar pain, specifically in cases of provoked vestibulodynia. Vestibulodynia (vulvar vestibulitis) is a chronic pain syndrome that is a subtype of localized vulvodynia[1] where chronic pain and irritation is present in the vulval vestibule, which is near the entrance of the vagina.[2] Vestibulectomy may be partial or complete.[3]
Vulvar vestibulectomy is primarily supported as an intervention for people who suffer from provoked vestibulodynia, which causes sexual pain to women.[4] It is not indicated as appropriate for people living with generalized vulvar pain disorders and non-provoked vestibulodynia.[1]
Vestibulectomy is not considered a first-line treatment option for provoked vestibulodynia,[5] but it is considered an effective treatment for the long-run and has recorded high levels of satisfaction from the patients.[6] One review found that significant pain relief was reported by 79% of patients.[7]
- ^ a b Rosen, Natalie O.; Dawson, Samantha J.; Brooks, Melissa; Kellogg-Spadt, Susan (2019). "Treatment of Vulvodynia: Pharmacological and Non-Pharmacological Approaches". Drugs. 79 (5): 483–493. doi:10.1007/s40265-019-01085-1. ISSN 1179-1950. PMID 30847806. S2CID 73485304.
- ^ "Vulvodynia and vestibulodynia | Skin Support". skinsupport.org.uk. Retrieved 2018-10-27.
- ^ "Vulvar Vestibulitis - Austin Urogynecology". Austin Urogynecology. 2015-02-10. Archived from the original on 2018-10-28. Retrieved 2018-10-27.
- ^ Lavy, Yuval; Lev-Sagie, Ahinoam; Hamani, Yaron; Zacut, David; Ben-Chetrit, Avraham (2005-05-01). "Modified vulvar vestibulectomy: simple and effective surgery for the treatment of vulvar vestibulitis". European Journal of Obstetrics, Gynecology, and Reproductive Biology. 120 (1): 91–95. doi:10.1016/j.ejogrb.2004.04.039. ISSN 0301-2115. PMID 15866093.
- ^ Bautrant, Eric; Porta, Oriol; Murina, Filippo; Mühlrad, Hanna; Levêque, Christine; Riant, Thibaut; Ploteau, Stephane; Valancogne, Guy; Levesque, Amélie (2019-10-01). "Provoked vulvar vestibulodynia: Epidemiology in Europe, physio-pathology, consensus for first-line treatment and evaluation of second-line treatments". Journal of Gynecology Obstetrics and Human Reproduction. 48 (8): 685–688. doi:10.1016/j.jogoh.2019.04.011. ISSN 2468-7847. PMID 31051298. S2CID 145024370.
- ^ Eva, Lois J.; Narain, Sumana; Orakwue, C. Obi; Luesley, David M. (2008). "Is modified vestibulectomy for localized provoked vulvodynia an effective long-term treatment? A follow-up study". The Journal of Reproductive Medicine. 53 (6): 435–440. ISSN 0024-7758. PMID 18664062.
- ^ Tommola, Päivi; Unkila-Kallio, Leila; Paavonen, Jorma (2010). "Surgical treatment of vulvar vestibulitis: a review". Acta Obstetricia et Gynecologica Scandinavica. 89 (11): 1385–1395. doi:10.3109/00016349.2010.512071. ISSN 1600-0412. PMID 20955094. S2CID 19466615.