Reconstruction of vulva

Christopher J. Salgado, Amir B. Behnam, Sarah Eidelson, Katerina Santiago, Priscilla Sanchez, John Christopher Oeltjen

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Vulvar defects created in the surgical treatment of cancer, infection, or autoimmune disorders as well as those resulting directly from trauma often necessitate varying degrees of reconstruction from primary repair to flap transfer. Multiple techniques have been described for vulvar reconstruction which addresses both form and function. Preoperatively, patients, who have many times been seen by our team psychiatrist preoperatively, are counseled on probable changes in sensation and impaired quality of life from anatomic distortion that may result in urinary dysfunction, sexual dysfunction, and / or poor cosmesis possibly leading to an overall unfavorable body image. In most cases, treatments are individualized and defined by very specific and variable defects; however, well defined flaps are commonly used for particular defects, concepts which we hope to elucidate in this chapter. A review of published work on vulvar reconstruction as well as the author's experience with these reconstructions and patient care postoperatively follows.

Original languageEnglish (US)
Title of host publicationAesthetic and Functional Surgery of the Genitalia
PublisherNova Science Publishers, Inc.
Pages71-86
Number of pages16
ISBN (Print)9781629486444, 9781628085112
StatePublished - Jan 1 2014

Keywords

  • Vulva
  • Vulvar cancer
  • Vulvar carcinoma
  • Vulvar intraepithelial neoplasia
  • Vulvar reconstruction
  • Vulvovaginal reconstruction

ASJC Scopus subject areas

  • Medicine(all)

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