Note: This is the best article I’ve seen so far regarding this surgery, which I personally have had twice. I found it on careplace.com, where NVVO has recently formed an online group. Come join if you’d like!
What is Vestibulectomy?
Skinning vestibulectomy with perineoplasty and vaginal advancement is still a gold standard for women with vulvar vestibulitis.
This is a procedure, which removes the tender areas of the skin within the vestibule (the area between the lower vagina and just within the vulva). The amount of tissue removed is variable and depends on your symptoms and the surgeon in charge of your care. Sometimes only isolated areas of skin are removed from the lower part of the vestibule and in other women with extensive symptoms, larger areas of the vestibule can be removed up to the front of the vagina near the urethra, where you pass urine. Other procedures are less commonly performed and these include removal of the labial skin and the skin near the back passage. The procedures are usually carried out in hospital under general anaesthetic and take around 10-40 minutes, depending on the surgeon. Dissolvable stitches are usually used to cover the defects where the tender areas of skin were removed. After the operation you might be sent home either the same day or a day or so later. Obviously you need time to recover from this and this is variable — anything from 6-12 weeks. Your doctor may advise use of other treatments following surgery and this might include the use of creams (steroid creams, emollients), the use of vaginal dilators (to prevent scar tissue reforming) and a review by a pain management team or possibly a psychosexual counsellor.