Effect of Vestibulectomy for Intractable Vulvodynia

Abstract Study Objective To assess the effectiveness of vestibulectomy in treating vulvodynia for patients with inadequate response to vulvar care guidelines and medical management. Design Retrospective case series (Canadian Task Force classification II-2). Patients All patients who underwent a vestibulectomy from 2004 to 2013 for vulvodynia. Interventions All patients in this study underwent a vestibulectomy. Measurements and Main Results In this study we analyzed 31 patients' overall reported pain scores and Q-tip test scores before and after vestibulectomy. The efficacy of vestibulectomy on reduction of pain was then analyzed after surgical management. There was no significant difference in pain scores from initial visit compared with the last visit before vestibulectomy after vulvar care guidelines and medical management were initiated (p = .48–.94). However, mean subjective pain scores before and after vestibulectomy decreased by 67% (p