Vulval Lesion Removal

What is vulval lesion removal?

Vulval lesion removal is a procedure used to treat and remove abnormal growths, lumps, or sores on the vulva. The vulva is the external part of the female genitalia, and lesions can develop due to various reasons, including infections, skin conditions, or pre-cancerous and cancerous changes.

This procedure helps relieve symptoms such as pain, discomfort, or irritation, while also allowing for further testing to diagnose the cause of the lesion. It’s a straightforward treatment that can significantly improve your comfort and peace of mind.

When is vulval lesion removal recommended?

Your doctor may recommend vulval lesion removal if you experience:

• Pain or discomfort: Lesions causing pain, itching, or irritation during activities such as walking, sitting, or sexual intercourse.
• Changes in appearance: Unusual growths, lumps, or sores that don’t heal or look concerning.
• Bleeding or discharge: Lesions that bleed, ooze, or cause unusual discharge.
• Suspicious changes: If the lesion appears pre-cancerous or has features requiring further investigation.
• Recurrent issues: Lesions that keep coming back despite previous treatments.

Your doctor will carefully assess the lesion, discuss your symptoms, and explain whether removal is the best course of action for you.

Preparing for vulval lesion removal

Preparation for the procedure is simple and designed to ensure a smooth experience. Here’s what you can expect:

• Initial consultation: Your doctor will examine the lesion and may recommend additional tests, such as a biopsy or imaging, to determine its nature.
• Discussion of options: Your doctor will explain the procedure, the type of anaesthesia used, and any alternatives available.
• Practical steps: You may be advised to avoid using creams or lotions on the area before the procedure and to wear loose, comfortable clothing.
• Medication advice: Let your doctor know if you are taking any medications, particularly blood thinners, as these may need to be paused temporarily.

This is your opportunity to ask any questions and feel confident about the next steps.

What happens during the procedure?

Vulval lesion removal is a straightforward procedure, typically performed as an outpatient treatment. The method will depend on the size and location of the lesion:

• Anaesthesia: Local anaesthetic is usually used to numb the area, ensuring the procedure is as comfortable as possible. For larger or complex lesions, general anaesthetic may be recommended.
• Removal of the lesion: The lesion is carefully removed using a scalpel or surgical instrument. If necessary, a small margin of healthy tissue is removed to ensure the lesion is fully treated.
• Closure: Depending on the size of the area, dissolvable stitches may be used, or the area may be left to heal naturally.
• Pathology analysis: The removed lesion is sent to a laboratory for analysis to confirm the diagnosis and rule out any serious condition.

The procedure usually takes 20 to 30 minutes, and most patients can return home the same day.

Benefits of vulval lesion removal

The removal of a vulval lesion provides several important benefits:

• Symptom relief: Alleviates pain, irritation, and discomfort caused by the lesion.
• Accurate diagnosis: Allows for laboratory testing to confirm the cause of the lesion and identify any underlying issues.
• Prevention of complications: Reduces the risk of infection, recurrence, or progression to more serious conditions.
• Improved comfort: Makes daily activities such as walking, sitting, and exercise more comfortable.

Risks of vulval lesion removal

While the procedure is generally safe, there are some potential risks, including:

• Infection: Rare but possible; signs include redness, swelling, and discharge.
• Bleeding: Minor bleeding is normal, but excessive bleeding may require medical attention.
• Scarring: The area may develop a small scar, which usually fades over time.
• Discomfort: Temporary soreness or tenderness is common during recovery.
• Recurrence: In some cases, lesions may return over time and require further treatment.

Your doctor will explain these risks and provide clear aftercare instructions to minimise complications.

Recovery after vulval lesion removal

Recovery is generally quick, but it’s important to follow your doctor’s advice to promote healing and avoid complications:

• Managing discomfort: Mild soreness or tenderness is normal after the procedure. Over-the-counter pain relief, such as paracetamol or ibuprofen, can help.
• Caring for the area: Gently clean the area with warm water and avoid scented products or harsh soaps. Pat the area dry with a soft towel.
• Avoiding irritation: Wear loose, breathable clothing and avoid activities such as cycling, strenuous exercise, or sexual intercourse until fully healed.
• Follow-up care: Attend your follow-up appointment to discuss the results and ensure proper healing.

If you experience heavy bleeding, swelling, persistent pain, or signs of infection (such as a foul-smelling discharge or fever), contact your doctor promptly.

Vulval lesion removal is a quick and effective treatment that can relieve discomfort, improve your quality of life, and provide clarity about your health. With the right aftercare and support, most patients recover quickly and experience significant relief.