Vulvectomy
Vulvectomy is a surgical procedure that involves the removal of all or part of the vulva, the external female genitalia. This procedure is typically performed as a treatment for various types of cancer, including vulvar cancer, vaginal cancer, and cervical cancer.
Types of Vulvectomy
There are several types of vulvectomy, which vary based on the extent of the disease and the patient's overall health. These include:
- Partial Vulvectomy: In this procedure, only the affected part of the vulva is removed.
- Simple Vulvectomy: The entire vulva, including the clitoris, is removed.
- Radical Vulvectomy: In addition to the vulva, the surrounding lymph nodes may also be removed.
Procedure
The procedure is performed under general anesthesia. The surgeon makes an incision in the vulva and removes the cancerous tissue. The incision is then closed with stitches. In some cases, a skin graft may be needed to cover the area where the vulva was removed.
Recovery
Recovery from a vulvectomy can take several weeks. Pain and swelling are common after the procedure. Patients may also experience changes in sexual function and body image.
Risks and Complications
As with any surgical procedure, a vulvectomy carries risks, including infection, bleeding, and complications from anesthesia. Long-term complications may include sexual dysfunction and psychological distress.
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Contributors: Prab R. Tumpati, MD