Best Doctors in India for Vulvectomy

Profile Highlights:

  • Dr. Smita Vats is a dedicated gynecologist & obstetrician in Delhi/ NCR. She received extensive training in advanced gynecological endoscopy, laparoscopy, and hysteroscopy from renowned surgeons in India and abroad.
  • Dr.Smita Vats is especially interested in infertility treatments, gynecologic endoscopic surgeries, high-risk pregnancy management, and adolescent and menopausal issues.

Profile Highlights:

  • Dr. Asha Sharma is one of the best Gynecologists & Obstetricians in Delhi/ NCR. She practices Laparoscopic Surgery (Obs & Gyn) to assist patients with their Gynaec problems.
  • The doctor provides consultations and checkups for maternal care, PCOS/PCOD, egg donation, diseases in pregnancy, irregular or excessive bleeding, and other menstrual disorders in adolescent girls, etc.

Profile Highlights:

  • Dr. Nutan Agarwal is an eminent Obstetrician & Gynecologist.
  • Dr. Nutan Agarwal is credited with pioneering various PCOS medications in India, such as Metformin and myoinositol.
  • She has also developed several treatments, such as ablation in multiple pregnancies, and formulated a guideline for managing irregular uterine bleeding in the Indian context.

Profile Highlights:

  • Dr. Veena Bhat is a senior obstetrician and gynecologist. Her clinical interest lies in Endoscopic management of infertility, Adolescent Gynecology, High-risk pregnancy, Menopausal health, and Minimal invasive surgery in Gynae.
  • The doctor performs Gynecological Endoscopy, both Laparoscopy & open (Hysteroscopy); Laparotomy, Endometriosis Surgery, Ovarian Cystectomy, and myomectomy with decent success.

Profile Highlights:

  • Dr. Priyanka Batra is one of the best doctors in India in the Department of Gynaecology and Gynae Oncology.
  • Her expertise extends to the subspecialties of laparoscopic surgeries, colposcopy, and minimally invasive surgeries.
  • She is a highly qualified doctor and has done multiple diplomas in the specialization of Gynae Oncology.

Best Hospitals in India for Vulvectomy

Hospital Highlights:

  • Apollo Hospitals is a private healthcare group in India, with its headquarters based in Chennai. Established in 1983 by Dr. Prathap C. Reddy, the group offers a wide range of medical treatments and services across various specialties.
  • It is renowned for emphasizing innovation and utilizing cutting-edge medical technologies into patient treatment.
  • Known as India’s first corporate hospital, Apollo Hospitals is often credited for pioneering the private healthcare revolution in the country.
  • With clinics and hospitals located all throughout India, Apollo Hospitals is a nationwide healthcare organization. Its presence can also be found in foreign countries.
  • Preventive health examinations, medical and surgical treatment, and diagnostic centres are just a few of the services that the Apollo group provides.
  • The group has several centres of expertise, including Cardiac Sciences, Neurosciences, Orthopedics, Emergency Care, Cancer Care, and Organ Transplantation.

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

Hospital Highlights:

  • Established in 2007, the Apollo Hospitals Bangalore is a 300-bed multispecialty hospital situated in Bannerghatta Road, Bangalore.
  • Equipped with the state-of-the-art technology, it is a leading hospital dedicated to providing healthcare needs to patients with compassion and expertise.
  • It is the first hospital to have completed the highest number of Robot Assisted Heart Surgeries in India.
  • Over the years, it has successfully conducted some of the rarest medical procedures such as spinal angiolipoma excision, autologous chondrocyte implantations, and tibial tuberosity shift with MPSL reconstruction.
  • The Apollo Hospitals Bangalore has the reputation of performing the greatest series of airway stents in the country.
  • Additionally, the hospital is known for providing comprehensive treatment in specialties such as gastroenterology, urology, gynecology, oncology, colorectal surgery, etc.
  • The “The Minimal Access Surgery Centre” (MASC), one of Apollo Hospitals, Bangalore’s premier Centres of Excellence, is devoted to the use of minimally invasive surgical procedures.
  • In 2013, THE WEEK-A C Nielsen, Best Hospital Survey ranked Apollo Hospitals Bangalore as the 2nd best multi-speciality hospital in Bangalore.

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and treatment services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

Hospital Highlights:

  • Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
  • Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
  • MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
  • With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
  • MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
  • They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
  • Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.

Hospital Highlights:

  • Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
  • Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
  • The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
  • The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.

Vulvectomy

Vulvectomy is a surgical procedure for removing some or all parts of the vulva. The outer portion of a woman’s genitals is known as the vulva. The surgery is performed to remove any diseased areas which might be cancerous, precancerous or be suffering from lichen sclerosus.

A vulva has several parts including the inner and outer labia and the clitoris. The vulva area includes the opening of the vagina as well as the opening of the urinary tract. In some rare cases, radical vulvectomy is also required which removes a large area of tissue including parts of the inside of the upper thighs, lower belly as well as the area located between the anus and the vagina.

The surgeon might also need to remove small glands which are known as lymph nodes in the groin.

Purpose

A vulvectomy is generally done to treat conditions such as:

  • Precancer of the vulva
  • Cancer of the vulva
  • Skin cancer on the vulva
  • Severe skin disease, like lichen sclerosis
  • Severe disease of sweat glands in the groin

The surgery is generally considered when other treatment options such as ablation, fail to cure the problem.

Preparation

It is important for you to let your doctor know about any kind of medication that you take including herbal supplements. If you have any kind of allergy to anesthesia, you need to let him/her know as well. He/she might also recommend that you stop smoking, at least for the days prior to the surgery, as this can affect your recovery.

If you have gone through menopause, your doctor might have you use estrogen cream for some weeks prior to your surgery. This is for making the skin in the area healthier for surgery.

Procedure

During the surgery, you will first lie on the surgery table, after which you will receive the sedatives that will make you unconscious or numb the surgery area.

The surgeon will cut away an area of the diseased tissue. He/she will also remove a small amount of additional tissue around the area. This helps to ensure that all the diseased tissue is gone. The surgeon will then remove layers of tissue, which may include fat under your skin.

Next, your surgeon might bring together edges of the skin, and close them with stitches or sutures. The surgeon might use flaps of skin for closing some areas. Small patches of healthy skin might be left for creating new tissue. In some cases, the surgeon might also use a skin graft. In this method, an area of healthy skin is taken from a different part of your body. Then the skin graft is stitched back in place over parts of your vulva that need removal.

The surgeon will next cover the area with a dressing so that it can be protected. If a skin graft was done, then he/she might also require to cover the donor site.

A thin, flexible tube known as a catheter, might be required in your urethra and bladder for a week. This will help you drain urine from the bladder while you recover.

Aftercare & recovery

Sometimes you might need to stay in the hospital, for some days, after the procedure. You will need to learn how to clean your genitals and how to dry them carefully. You should receive specific instructions from your doctor. If any dressings are present, they will be looked at daily and removed when it is appropriate.

Next, your medical team will discuss with you what kind of medications you need to take, including ones for pain, blood clots, infection or prevention of constipation.

It is important to have the following items at home:

  • Soft, clean towels for cleaning as well as drying yourself
  • Sitz bath and a squirt bottle for vulvar hygiene, which you should receive when you leave the hospital
  • Hairdryer with a cool setting or a circulating fan for drying the surgical areas
  • Thermometer to check for fever, as this can be a sign of infection
  • Loose clothing preferably of cotton

 

You might need a friend or family member to help you with your daily tasks till you feel better and are able to take care of yourself. It will take some time before your team tells you that it is okay to resume any normal activity.

Make sure to take your prescribed medications as directed so that you can prevent any pain, infection and/or constipation. If you see any new or worsening symptoms, let your doctor known immediately.

Taking deep breaths and resting well can also help you in pain management, as well as keep your lungs healthy.

Risks and side effects

Few risks as well as side effects are associated with a vulvectomy which includes the following:

  • Bleeding, infection, or blood clots.
  • Urinary tract infections
  • Wound issues such as delayed healing, infections, and/or graft site failure, fluid-filled cyst formation.
  • Swelling of the legs.
  • Change in the appearance of your vulva
  • Genital numbness
  • Narrowed vaginal opening which can lead to a decrease in sexual pleasure and/or painful intercourse
  • Discomfort and fatigue.
  • Change in urine stream.

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