Vulvectomy and vestibulectomy
A vulvectomy is used to treat skin conditions of
only when other methods, such as creams, medicines
and laser therapy, have failed. It involves removal of the
vulva only. The urethra and vagina are left intact.
A vestibulectomy is used to treat pain at the entrance
the vagina and is carried out only when other treatments
have failed, it involves removal of the tissue at the entrance
to the vagina.
A partial vestibulectomy, which involves removal
some of the tissue at the entrance to the vagina, may be
used in conjunction with corticosteroid cream to treat a
skin condition called lichen sclerosis.
These operations are performed under a general
anaesthetic and take 1-2 hours.
In both operations, a catheter may be passed up
urethra into the bladder to drain off the urine. A plastic
tube may also be inserted into the wound to remove any slight
bleeding. These tubes will be left in place for up to 72
There will be some discomfort following surgery
be controlled with pain killers.
The average hospital stay is 10-14 days and normal
activities can usually be resumed within 6-8 weeks.