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Doctor insights on: What Is Skinning Vulvectomy

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What is a radical vulvectomy exactly?

What is a radical vulvectomy exactly?

Removal of vulva: A radical vulvectomy is a surgical option for the treatment of advanced vulvar cancer (cancer of the vulva). During this surgery, the labia and much of the surrounding skin and lymph nodes are all removed from the body. If you or someone you know has vulvar cancer, you should be seeing a gynecologic oncologist. ...Read more

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How long should it take to heal after a partial vulvectomy?

How long should it take to heal after a partial vulvectomy?

Vulvectomy: Up to 50% of vulvectomy incisions breakdown no matter how careful the patient or gynecologic oncologist is. We tell patients it may take up to 12 weeks for total healing. ...Read more

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I'm getting a partial vulvectomy how long does it usually take to heal?

Depends: Because of the location of your incisions, the wound may open. If this happens, it can delay your healing. I would say at least 6 to 8 weeks. ...Read more

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Is masturbation possible after a vulvectomy?

Is masturbation possible after a vulvectomy?

Yes: If the labia, clitoris, and vagina were left intact, sexual activity, including masturbation, is possible. ...Read more

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Where does the drainage come from with a partial vulvectomy?

Where does the drainage come from with a partial vulvectomy?

Drainage: Some of the fluid is just weeping of the underlying tissue because of exposure to outside. Occasionally some drainage is infection. ...Read more

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Do you have to have a vulvectomy when you get precancerous changes on the vulva?

Do you have to have a vulvectomy when you get precancerous changes on the vulva?

Not necessarily: Generally, recancerous lesions on the vulva need to be excised. If the lesion is invasive cancer then a vulvectomy may be needed in addition to lymph node sampling. ...Read more

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I've had parcial vulvectomy it was stage 4 no radiation was needed.I have been having symtoms again it has been 2 years. Should i expect this?

I've had parcial vulvectomy it was stage 4 no radiation was needed.I have been having symtoms again it has been 2 years. Should i expect this?

Possibly: I assume the partial vulvectomy was for squamous Ca. Also that the procedure was effective because failure to control disease here might not result in an obvious lesion, but rather metastasis to regional groin nodes. Since intermittent symptoms are the major problem it is probably due to scar around several of the nerve groups such as pudendal nerve. Otherwise a neuroma may have developed ...Read more

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Is severe vulvar dysplasia likely to come back after a vulvectomy?

Is severe vulvar dysplasia likely to come back after a vulvectomy?

Possibly: If you have had that diagnosis, a regular gynecologic evaluation is very important. The problem is frequently multifocal, that is occurring in separated areas. ...Read more

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Had a simple vulvectomy 5 wks ago-area of over-granulation tissue removed-no VIN. Wound healing well altho 1 stitch opened. Still have pain- normal?

Had a simple vulvectomy 5 wks ago-area of over-granulation tissue removed-no VIN. Wound healing well altho 1 stitch opened. Still have pain- normal?

Can happen but: not common in all , will heal in couple of wks, and pain will go away once heals completely , don't worry you will be fine. ...Read more

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Should I be concerned-moderate headache 6 hours after bi lateral partial vulvectomy? Had twilight anesthesia. No temp. Slightly nauseous

Should I be concerned-moderate headache 6 hours after bi lateral partial vulvectomy?  Had twilight anesthesia. No temp. Slightly nauseous

Normal: Assuming you have no other medical conditions, that is normal. some of the drugs we give can cause headaches, etc. The pain pills can also cause those symptoms. Codeine, hydrocodone can all cause nausea. If the headache gets worse, you may want to call you surgeon. ...Read more

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Simple vulvectomy 6 wks ago-healing well & pain reduced recently. Stitches seem to have almost dissolved in last 2 days now feels sore at site-normal?

Simple vulvectomy 6 wks ago-healing well & pain reduced recently. Stitches seem to have almost dissolved in last 2 days now feels sore at site-normal?

Postop visit: What you describe sounds normal but hopefully you have a postop appointment with your surgeon to make sure all is healing normally. ...Read more

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Years ago i had a radical vulvectomy done. Is it possible for me to get a vulva transplant now?

Years ago i had a radical vulvectomy done. Is it possible for me to get a vulva transplant now?

Not exactly.: No it's not possible to have a vulva transplant ( as in from another human being), but sometimes a plastic surgeon can graft skin and tissue from another area of your body such as buttock or thigh to make the area look more even. ...Read more

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What causes the sudden onset of pubic bone pain (outside labia) 2 weeks after partial bilateral vulvectomy - no lymph nodes removed?

What causes the sudden onset of pubic bone pain (outside labia) 2 weeks after partial bilateral vulvectomy - no lymph nodes removed?

Maybe infection: If it doesn't resolved overnight I would call your surgeon/gynecologists office first thing tomorrow, so they can look at the area since the weekend is rapidly approaching. Local edema may cause mild pain too, but my concern would be infection deep to the skin. ...Read more

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10 days post bilateral partial vulvectomy. I get periods of sweating and feeling feverish despite having a normal temp. Should I be concerned?

10 days post bilateral partial vulvectomy.  I get periods of sweating and  feeling feverish despite having a normal temp. Should I be concerned?

Call your surgeon: You need to call your surgeon. It likely related to healing, but you may have to have your scars checked for infection. ...Read more

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3 weeks post partial vulvectomy. There is no infection. The outside of my labia where hair covers is sensitive and bruised feeling. What can cause it ?

3 weeks post partial vulvectomy. There is no infection. The outside of my labia where hair covers is sensitive and bruised feeling. What can cause it
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Expected: I would expect the area surrounding the surgery would still be sore after a partial vulvectomy only 3 weeks ago. Hopefully you have a post op appointment schedule to make sure all is healing well. Silvadene (silver sulfadiazine) cream can often be prescribed to help soothe this area after this surgery. ...Read more