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Related Experiment Video

Updated: Jun 10, 2026

Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation
08:43

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Published on: March 17, 2023

Parturition after vestibulectomy.

Lara J Burrows1, Maryn Sloane, Gordon Davis

  • 1Summa-Health System, Akron, OH 44304, USA. burrowslj@yahoo.com

The Journal of Sexual Medicine
|August 21, 2010
PubMed
Summary
This summary is machine-generated.

Women who have had vulvar vestibulectomy can safely deliver vaginally. This study found no increased risk of perineal tears, indicating cesarean delivery is not necessary after this surgery.

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Area of Science:

  • Obstetrics and Gynecology
  • Sexual Health
  • Surgical Outcomes

Background:

  • Provoked vestibulodynia is a leading cause of sexual pain in premenopausal women.
  • Vulvar vestibulectomy is an established treatment for provoked vestibulodynia.

Purpose of the Study:

  • To identify the optimal delivery method for pregnant women post-vulvar vestibulectomy.
  • To assess the safety and outcomes of vaginal versus cesarean delivery in this patient population.

Main Methods:

  • A retrospective chart review was conducted on women who underwent vulvar vestibulectomy.
  • Data on term pregnancies and deliveries were collected and analyzed.
  • Descriptive statistics were used to evaluate delivery modes and perineal laceration rates.

Main Results:

  • Of 109 women, 44 experienced a term pregnancy and delivery post-vestibulectomy.
  • Vaginal delivery occurred in 52% (23/44) and cesarean delivery in 48% (21/44).
  • Vaginal delivery was associated with low rates of significant perineal lacerations, comparable to the general population.

Conclusions:

  • Vaginal delivery is a safe option for women after vulvar vestibulectomy.
  • There is no evidence to support cesarean delivery as a routine measure for these patients.
  • Perineal outcomes after vaginal birth post-vestibulectomy do not appear to be adversely affected.