{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:46:54Z","timestamp":1782514014733,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2011,10,14]],"date-time":"2011-10-14T00:00:00Z","timestamp":1318550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> To evaluate the safety and the effectiveness of posterior vestibulectomy in the treatment of vulvar vestibulitis syndrome. <jats:italic>Design.<\/jats:italic> A retrospective cohort study. <jats:italic>Setting.<\/jats:italic> University Hospital, tertiary referral center. <jats:italic>Population.<\/jats:italic> Seventy women treated by posterior vestibulectomy for severe vulvar vestibulitis syndrome during 1995\u20132007 at the Department of Obstetrics and Gynecology, University Hospital, Helsinki. <jats:italic>Methods.<\/jats:italic> All operated women were invited to a long\u2010term follow\u2010up study. Patient characteristics, baseline visual analog scale (VAS) for dyspareunia and data from the postoperative period were collected. Of the 70 women, 57 attended the follow\u2010up visit including face\u2010to\u2010face interview, gynecological examination with swab\u2010touch test for vestibular tenderness, current VAS score for dyspareunia and McCoy questionnaire for sexual problems. <jats:italic>Main Outcome Measures.<\/jats:italic> Short\u2010term and long\u2010term complication rates, dyspareunia by VAS score, vestibular tenderness, sexual problem index and overall patient satisfaction. <jats:italic>Results.<\/jats:italic> Ninety\u2010one per cent were satisfied with the outcome. The VAS for dyspareunia decreased from a median of 9 to 3 (66.7% decrease; <jats:italic>p<\/jats:italic>&lt;0.001). Posterior vestibular tenderness was absent in 34 patients (64.2%). Six (8.6%) patients developed postoperative bleeding and 11 (15.7%) mild wound infection. Bartholin's cysts occurred in four (5.7%) patients. <jats:italic>Conclusions.<\/jats:italic> Posterior vestibulectomy is effective and safe in the treatment of severe vulvar vestibulitis syndrome and provides long\u2010term patient satisfaction.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2011.01248.x","type":"journal-article","created":{"date-parts":[[2011,7,28]],"date-time":"2011-07-28T03:42:36Z","timestamp":1311824556000},"page":"1225-1231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Long\u2010term follow up of posterior vestibulectomy for treating vulvar 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