Evaluation of Long-Term Surgical Success and Satisfaction of Patients After Vestibulectomy

Objective
Vestibulectomy is one of the only proven therapeutic treatments for provoked vulvodynia (PVD). However, little is known about long-term surgical success.
Methods
Patients who underwent vestibulectomy between 1991 and 2003 were interviewed to assess frequency of intercourse and degree of pain during various activities, as well as satisfaction with and willingness to recommend the surgery. We also examined the outcome relation to PVD type being primary or secondary. Differences in pain over time were assessed using a paired-sample t test or a Wilcoxon signed-rank test.
Results
Of 85 eligible patients, 50 (59%) were contacted and 32 (38%) participated. All underwent vestibulectomy 12–24 years prior by the same surgeon. All experienced sexual intercourse without pain at some point after surgery (median = 4 months). Penetration pain averaged 9.13 (scale = 0–10) before surgery and dropped to 0.47 at the time of follow up (p

Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Benign Vulvovaginal Conditions Source Type: research