Guest guest Posted March 27, 2006 Report Posted March 27, 2006 Yeah, see, Dr. Haefner told me that there was a risk of going near the urethra. The risk was that my urine stream might change direction (it did not). My doctor in Raleigh did not want to remove the portion of the vestibule near the urethra at all. I was very anxious to have that part of the vestibule removed. I think if I hadn't had that done I would have been wasting my time because I had severe pain at the front (12:00). I am *so* glad she did it. I agree completely that you should find a doctor who has done many vestibulectomies. Also you want to make sure they know how to make the correct kind of stitches so the incision/scar does not become a problem afterwards. > > My doc was " conservative " in that he did not cut as near to the urethra than another doctor might. Still, it was considered a total and not a " partial " vestibulectomy. I did go back for an additional excision, though, because his decision turned out to be too conservative for me. He removed a little more tissue the second time around, so that if the vestibulectomy is a kind of " horse-shoe " shaped excision, he extended the 2 horseshoe ends. > > The partial/total vestibulectomy is an ongoing disagreement among surgeons. The problem with a partial that my experience illustrates is this: There seems to be a " sqeaky wheel gets the oil " phenomenon where the area of worst pain sort of hogs the spotlight, so that a level 1 or 2 pain elsewhere in the vestibule isn't really noticed. Until the area of worst pain is removed and the 1/2 pain area can begin to assert itself. > > My advice is to see a surgeon who has done many, many surgeries and therefore has enough experience to start drawing conclusions about what does or doesn't work. > > Good Luck! Email me if you wish. > > Lia > Quote
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