The treatment of early vulvar carcinoma has moved toward less radical
surgery with reconstruction. This report describes our preliminary exp
erience with a mons pubis flap that is simple and appears safe, reliab
le, and gives excellent cosmetic and functional results following radi
cal hemivulvectomy. Four patients have undergone this procedure with e
xcellent results. The flap brings pliable, hair-bearing skin which aut
hentically mimics the normal side, thus providing good sexual function
. The mons pubis pedicle flap should be considered in patients undergo
ing radical hemivulvectomy where an excellent cosmetic result is desir
able. (C) 1994 Academic Press, Inc.