Parturition after vestibulectomy.
J Sex Med
; 8(1): 303-5, 2011 Jan.
Article
in En
| MEDLINE
| ID: mdl-20722791
ABSTRACT
INTRODUCTION:
Provoked vestibulodynia is the most common cause of sexual pain in premenopausal women. Vulvar vestibulectomy has been shown to be an effective treatment.AIM:
To determine the optimum route of parturition in women who become pregnant after vulvar vestibulectomy.METHODS:
All women who underwent a complete vulvar vestibulectomy by one of four surgeons were contacted between 12 and 72 months after surgery. For all women who had a term pregnancy and subsequent delivery, the research assistant abstracted data from the charts. Descriptive statistics were applied. MAIN OUTCOMEMEASURES:
The number of women who underwent a delivery after a vestibulectomy, mode of delivery, and rate of perineal lacerations.RESULTS:
Of 109 women, 44 (40%) had undergone at least one term pregnancy and delivery; 23 (52%) were vaginal, and 21 (48%) were cesarean deliveries. Of the vaginal deliveries, 11 (48%) were over an intact perineum. Three (13%) women had a midline episiotomy, none of which extended into third or fourth degree lacerations and one woman (4.4%) sustained a spontaneous fourth degree perineal laceration.CONCLUSIONS:
Vaginal delivery after vulvar vestibulectomy appears to be a safe option, with no increased perineal morbidity above the general population. Furthermore, it is not an indication for a cesarean delivery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Perineum
/
Pregnancy Rate
/
Lacerations
/
Delivery, Obstetric
/
Parturition
/
Vulvodynia
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
J Sex Med
Journal subject:
GINECOLOGIA
/
MEDICINA REPRODUTIVA
/
UROLOGIA
Year:
2011
Document type:
Article
Affiliation country:
United States