COMPLETE VESTIBULECTOMY SURGERY

2/20/13 VESTIBULAR ANESTHESIA TEST
My dearest Dr. G. and Catherine,
All is more than well.
I'm sitting while I write to you--wearing panties for the first time in over
three years and...a pair of G's jeans!!!!!
Last time I was able to wear pants was the G. W. Bush administration, at
least.
I can't thank you both enough for giving me a type of hope I've not dared
dream of for so long.-----------Am looking forward to speaking with former patients of the procedure and
moving forward!
A world of thanks,
Neuro-Proliferative Vestibulodynia
COMPLETE
VESTIBULECTOMY
SURGERY
1 2/20/13 Neuro-Proliferative Vestibulodynia
Positive vestibular anesthesia test can help predict surgical
outcome
A positive vestibular anesthesia test predicts that the
patient can be pain-free if there is:
1)  elimination of diseased vestibular tissue that is
associated a high density and proliferation of Cafferent nociceptors that has led to unrelenting and
conservative treatment resistant vestibulodynia
2)  the healthy vagina (NO PATHOLOGY) is surgically
connected to the healthy vulva (NO PATHOLOGY)
Neuro-Proliferative Vestibulodynia
Alternative to conservative treatment
for neuroproliferative vestibulodynia
is outpatient surgery to remove ALL
diseased vestibular tissue
Complete vestibulectomy: right and
left anterior vestibulectomy,
millimeters from the urethral meatus
PLUS
classic posterior vestibulectomy with
vaginal advancement flap
2 2/20/13 Neuro-Proliferative Vestibulodynia
–
COMPLETE VESTIBULECTOMY REMOVING ALL VESTIBULAR
TISSUE – EVEN 1-2 MMS FROM THE URETHRAL MEATUS
8/13/12
8/13/12
8/13/12
–
8/13/12
8/13/12
3 2/20/13 POST-OP 4 months
–
PRE-OP
4 2/20/13 Neuro-Proliferative Vestibulodynia
–
Neuro-Proliferative Vestibulodynia
Outpatient surgery is 1 hour
Recovery restrictions from surgery for 3 months:
Bed rest for most of day, No heavy lifting (<10
pounds), No sexual/physical activity, Frequent
baths (3-4/day), Frequent icing, Walking
permitted
Post-op success is very dependent on post-op:
psychologic therapy – at 3 months
pelvic floor physical therapy - at least 3-6-12
months
5 2/20/13 –
6