Vulvectomy

Vulvectomy is a surgical procedure performed to remove part or all of the vulva, the external female genitalia. It is primarily indicated in cases of vulvar cancer, a relatively rare but serious type of gynecological cancer. Vulvar cancer can arise from various factors, including:

  • Human Papillomavirus (HPV) Infection: Certain strains of HPV are associated with an increased risk of vulvar cancer.
  • Chronic Inflammation: Conditions such as lichen sclerosus or long-term irritation and inflammation of the vulvar skin may predispose to vulvar cancer.
  • Smoking: Tobacco use has been linked to an elevated risk of vulvar cancer.
  • Age: Advancing age is a significant risk factor, with most cases diagnosed in older women.
 

Treatment: Dr. Deepak Bose specializes in vulvectomy, tailoring the surgical approach to each patient’s individual needs and the extent of the disease. The procedure may involve:

  • Partial Vulvectomy: Removal of a portion of the vulva containing the cancerous lesion, while preserving as much healthy tissue as possible.
  • Radical Vulvectomy: Removal of the entire vulva, including the clitoris, labia majora, and labia minora, in cases of extensive or recurrent vulvar cancer.
  • Modified Radical Vulvectomy: Removal of the vulva along with adjacent structures such as the inguinal lymph nodes, tailored to cases with deeper invasion or lymph node involvement.

Reconstructive Surgery: After vulvectomy, reconstructive surgery may be performed to restore the appearance and function of the vulva and improve quality of life. This may include procedures such as skin grafting, local tissue rearrangement, or flap reconstruction, depending on the extent of tissue loss and patient preferences.

Recovery and Care: Recovery from vulvectomy varies depending on the extent of surgery and individual factors. Dr. Bose ensures that patients receive comprehensive post-operative care, including pain management, wound care, and monitoring for any potential complications such as infection or wound breakdown. Patients are closely monitored during follow-up appointments to assess healing and address any concerns.

Outcome: Vulvectomy is a critical component of treatment for vulvar cancer, aiming to remove cancerous tissue while preserving function and quality of life to the extent possible. Dr. Deepak Bose’s expertise in vulvectomy ensures that patients receive personalized care and support throughout the treatment journey, with a focus on achieving optimal outcomes and overall well-being.