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Vulvar wide local excision, simple vulvectomy, and skinning vulvectomy

C William Helm, MD
Section Editor
Barbara Goff, MD
Deputy Editor
Sandy J Falk, MD, FACOG


Vulvar lesions are a common gynecologic problem. Lesions that are suspicious for malignancy or are premalignant may be excised in a conservative fashion, preserving as much of the vulvar architecture as possible. Treatment approaches also include ablative techniques (laser, Cavitron ultrasonic surgical aspirator [CUSA]) and pharmacologic therapy [1].

The techniques for vulvar wide local excision and simple or skinning vulvectomy are reviewed here. Diagnosis and treatment of vulvar lesions, precancer, and cancer are discussed separately. (See "Vulvar lesions: Diagnostic evaluation" and "Vulvar intraepithelial neoplasia" and "Squamous cell carcinoma of the vulva: Staging and surgical treatment".)


Conservative excisional procedures are performed for selected benign or premalignant conditions of the vulva, including:

Vulvar intraepithelial neoplasia (VIN) (see "Vulvar intraepithelial neoplasia", section on 'Excision')

Paget disease of the vulva (see "Vulvar cancer: Epidemiology, diagnosis, histopathology, and treatment of rare histologies", section on 'Paget disease of the vulva')

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Literature review current through: Nov 2017. | This topic last updated: Dec 01, 2017.
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