Flap repair: an effective strategy for minimising sexual morbidity associated with the surgical management of vulval intra epithelial neoplasia

Objective: To assess the sexual function after local excision and flap repa ir for symptomatic vulval intraepithelial neoplasia (VIN), Study Design: A retrospective analysis of five sexually active women who had persistent, sy mptomatic VIN diagnosed in a dedicated tertiary referral vulval clinic and treated with local excision and flap repair. Sexual function was assessed u sing a modified version of the Sabbatsberg Sexual Self-Rating Scoring (SRS) system. Results: The mean age of the cohort was 32 years (range 30 to 51), Four patients had previously been unsuccessfully treated with local excisi on, Follow up ranged from 5 to 33 months. The SRS scores were 90, 90, 81, 7 2 and 25, Endogenous depression may explain this last score, There has been no recurrence of VIN, Conclusion: In sexually active women with symptomati c VIN III, a flap reconstruction should be considered in addition to local excision as the treatment of choice.