Vulvar reconstruction

The major techniques for vulvar reconstruction have been reviewed. It is incumbent upon not only the gynecologic oncologist but also the referring gynecologist to recognize the advances made in the field of reconstructive surgery. However, reliance on reconstruction of anatomic deficiencies resulting from treatment of cancer should never be allowed to overshadow the psychosexual adjustment of the patient. It is important to pay equal, if not more, attention to improving the psychosexual rehabilitation of these patients undergoing such extensive surgery.