Objective: To assess women's perception of the effects of vulvar surgery for vulvar intraepithelial neoplasia (VIN).
Study Design: Women attending a vulvar clinic for routine follow-up after surgical treatment of VIN were invited to respond to a brief questionnaire relating to their perception of vulvar appearance and sexual function. Clinical details, including the patients' age, parity, the focality and size of the lesion, types of treatment and length of follow-up, were extracted from the medical records. The diagnosis of VIN was made according to the histologic criteria of the International Society for the Study of Vulvovaginal Disease.
Results: Only 2 of 70 (3%) women expressed dissatisfaction following surgical treatment. One woman described vulvar disfigurement and the second had diminished sexual satisfaction following surgery.
Conclusion: There is a high level of patient satisfaction following conservative surgery for VIN.
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