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All women were given two validated questionnaires preoperatively and at 3\u2010, 6\u2010 and 12\u2010months to evaluate their satisfaction with the aesthetic, genitourinary and psychosexual outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Early and late complications within 30\u2009days. Patient reported outcome measures preoperatively and post\u2010reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>136 flaps in 69 women were analysed. 92.6% (126\/136) and 83.1% (113\/136) flaps developed none\u2010to\u2010mild complications at 7\u2009days, and between days 8 to 30, respectively. Five necrotic flaps in two patients were surgically debrided. All flaps had healed\/healing at 30\u2009days. We did not identify any correlates of complications. At 12\u2009months, women reported an improvement in genital symptoms (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). 80.4% (37\/46) reported no urinary incontinence vs. 48.1% (26\/54) preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.0038. 24.4% (11\/45) were sexually active vs. 9.3% (5\/54) preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.0410. More women felt attractive (<jats:italic>p<\/jats:italic>\u2009=\u20090.0498), were satisfied with their body (<jats:italic>p<\/jats:italic>\u2009=\u20090.0407) and comfortable in intimate situations (<jats:italic>p<\/jats:italic>\u2009=\u20090.0273). 88.9% (40\/45) stated that reconstruction helped with acceptance of their cancer diagnosis and surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Locoregional flap reconstruction has low surgical morbidity, leads to a significant improvement in genitourinary and psychosexual functions. In women with cancer, reconstruction supports women to cope with their diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.18156","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T09:57:35Z","timestamp":1743501455000},"page":"1156-1165","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Vulval Flap Reconstruction in Women With Benign, Preneoplastic and Malignant Vulval Conditions: A Prospective Study"],"prefix":"10.1111","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6245-2358","authenticated-orcid":false,"given":"Fong Lien","family":"Kwong","sequence":"first","affiliation":[{"name":"Pan Birmingham Gynaecological Cancer Centre, Midland Metropolitan Hospital Sandwell and West Birmingham NHS Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Pounds","sequence":"additional","affiliation":[{"name":"Pan Birmingham Gynaecological Cancer Centre, Midland Metropolitan Hospital Sandwell and West Birmingham NHS Trust  Birmingham UK"},{"name":"School of Medical Sciences, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmin","family":"Farah","sequence":"additional","affiliation":[{"name":"Pan Birmingham Gynaecological Cancer Centre, Midland Metropolitan Hospital Sandwell and West Birmingham NHS Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3471-0599","authenticated-orcid":false,"given":"Jason K. 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