Evaluation of the surgical treatment of vulvar vestibulitis

[Guest guest]

Department of Medicine,

State University of New York Health Science Center at Brooklyn, USA.

OBJECTIVE: To assess the

efficacy of perineoplasty in the management of vulvar vestibulitis. STUDY

DESIGN: Forty-two women who had undergone operative perineoplasty for the

treatment of vulvar vestibulitis completed a questionnaire, a mean of 4.8 years

postoperatively. RESULTS: Vulvodynia was constant or daily in 29 (69%) before

surgery and in eight (19%) of respondents after surgery. In all, 27 (80%) of 34

women who had preoperative vulvar discomfort reported that the discomfort was

much better or absent following surgery. Before surgery, 26 (70%) of 37 women

who were not celibate for reasons other than vulvar vestibulitis, were celibate

because of vulvar vestibulitis or always had pain during coitus and sometimes

had to discontinue coitus because of pain. In contrast, only two (5.7%) of 35

women had this degree of dyspareunia following surgery. Similarly, 28 (85%) of

33 sexually active women who had dyspareunia before surgery reported that

intercourse was much less painful or pain-free following surgery. CONCLUSION:

Perineoplasty has a role in the management of vulvar vestibulitis for women who

do not achieve satisfactory relief of vulvodynia and/or dyspareunia with

nonoperative treatments.

PMID: 10509780 [PubMed - indexed for MEDLINE

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