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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

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