Best Doctors in India for Vulvectomy

Profile Highlights:

  • Dr. Moumita Naha is a consultant Gynecologist and Obstetrician in Kolkata.
  • Dr. Naha is one of the best infertility experts in Kolkata and has assisted in achieving several successful pregnancies in women with various fertility issues.
  • She is an expert in IVF, IUI, ICSI, management of infertile couples, recurrent IVF failure, recurrent miscarriage, endometriosis, reproductive endocrinology, sexual medicine, and Andrology.

Profile Highlights:

  • Dr. Akanksha Jangid is a Consultant of Gynecology and Obstetrics in Kolkata currently associated with Indira IVF. The center is a highly specialized unit equipped with the latest technology in Assisted reproductive technology together with state-of-the-art infrastructure and laboratories.
  • She is trained in infertility treatment and provides services for IVF, IUI, ICSI, and fertility tests.

Profile Highlights:

  • Dr. Arvind Vaid is a well-known Gynecologist and Obstetrician in Delhi specializing in IVF and infertility treatment.
  • He has over a decade of experience in the treatment of infertility and has helped a number of patients in having a child through ART (Assisted Reproductive Technology).
  • Dr. Arvind Vaid is trained in various infertility procedures including IVF, ICSI, IUI, and assisted laser hatching.

Profile Highlights:

  • Dr. Chandana Lakkireddi is renowned infertility and IVF specialist in Hyderabad with expertise in all kinds of assisted reproductive techniques and the management of infertility issues in both males and females.
  • She has an extensive experience of 15+ years and finds interest in reproductive endocrinology, management of PCOS, implantation failure, recurrent failed cycles of IVF, miscarriage, endometriosis, and adenomyosis.

Profile Highlights:

  • Dr. Erika Patel is a Consultant of Gynecology & Obstetrics in Chennai with experience in infertility treatment and ART.
  • With several years of experience in the management of infertility and training in IVF, Dr. Patel works with the goal of making IVF and assisted reproduction highly successful in India.
  • She has helped several couples in conceiving a baby without compromising on the quality and by following strict ethical conduct while maintaining complete transparency during the entire process.

Profile Highlights:

  • Dr. Yogesh Kulkarni is a well-known name in the field of Gynae Onco surgery.
  • He holds an experience of more than 22 years and has performed more than 2000 gyne oncological surgeries.
  • Dr. Yogesh Kulkarni has performed over 1000 gyne cancer surgeries in the hospital. He also holds the credit for 500 ovarian, 250 endometrial, 214 cervical cancer surgeries, and 144 robotic cancer surgeries at KDAH alone.
  • He gained popularity when he performed the first Reported Fertility Sparing Surgery for Cervical Carcinoma on a 4-year-old for clear cell cervical carcinoma

Profile Highlights:

  • Dr. Aruna Ashok is a well-known gynecologist and obstetrician with experience in the treatment and management of all types of gynecological issues and disorders.
  • Along with that, she is an experienced and skilled infertility specialist with training in various types of assisted reproductive techniques including IVF, IUI, ICI, and IMSI. She performs infertility surgeries and donor insemination surrogacy among other several procedures.
  • She has delivered talks and presented papers at national levels on infertility, IVF, and the advancements being made in ART.

Profile Highlights:

  • Deepa Maheshwari is a Gold medalist gynecologist and obstetrician in Delhi NCR, having more than two decades of experience in assisting Gynae patients. 
  • The doctor specializes in infertility estimation and management, Antenatal Care, High-Risk Pregnancy, PCOD/PCOS Treatment, Maternal Care, and Prenatal checkup.

Profile Highlights:

  • Dr. Neha Gupta is one of the best Gynecologists and infertility specialists in Delhi NCR, having more than a decade’s experience.
  • In her 12 years of experience, she gained expertise in Hysteroscopic and Laparoscopic procedures.
  • Urinary incontinence, ectopic pregnancy, Pelvic floor repair surgeries, uterine prolapse, uterine polyps, surgeries for fibroids, etc. are her core specialties.

Best Hospitals in India for Vulvectomy

MGM Healthcare, Chennai

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.

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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