This procedure is done to remove the following conditions:

  • Cancer
  • Lichen Sclerosus
  • Precancer

If you present with any of these conditions, Dr Bryant will discuss whether you are an ideal candidate for a radical vulvectomy during consultation.



An operation called a vulvectomy involves the removal of all or a portion of the vulva, which is made up of the inner and outer labia. A surgeon may remove the clitoris, depending on the condition.

The sort of vulvectomy surgery you have depends on which areas of the vulva and surrounding tissue are afflicted and which require surgery. There are various vulvectomy procedures. During a radical vulvectomy, the whole vulva, surrounding tissue, and neighbouring lymph nodes are removed. The surgery is performed to remove malignant, precancerous, or harmful tissue.

What does this procedure entail?

Before removing the tumour and surrounding tissue, Dr Bryant will make one or more incisions in the vulva. She may also remove all or some of the groin lymph nodes (inguinal lymph nodes). Immediately after the vulvectomy, Dr Bryant performs a sentinel lymph node sampling of the inguinal area. Drains will be left in the groin area for two weeks. Dr Bryant may use tissue from adjacent structures (flaps) to close the defect and maintain function and cosmesis. In some circumstances, distal flaps /tissue are used from other locations of the body. A colostomy to divert stool may be indicated in severe disease involving the vulva and anus. It will be reversed later.

What can I expect after this procedure?

Your recuperation in the recovery room will be observed following the surgery. Some patients may require a few days in the hospital to recover. Dr Bryant will go over aftercare with you before you return home. You will be given painkillers and nausea medications, and you will be required to rest until you can resume your normal activities. You may experience cramping, bloating and bright red, brown, or black discharge.

After this procedure, you will be given bed rest for two days. Thereafter, you will be able to ambulate/walk, but sitting is not recommended.


How long does a radical vulvectomy take?

Depending on what needs to be removed, Dr Bryant can take one to four hours to complete this surgery.

How long does vulvar reconstruction surgery take?

Just like a radical vulvectomy, this procedure can take Dr Bryant between one and four hours to complete.

How long does it take to recover from a radical vulvectomy?

Full recovery can take up to six weeks, depending on the extent of the disease.

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