Dyspareunia surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Surgery is performed as a last resort when all conservative and medical management options have failed or when surgery is indicated in situations such as endometriosis to remove the topic uterine tissue.

Surgery is performed as a last resort when all conservative and medical management options have failed or when surgery is indicated in situations such as:^[1]

• Endometriosis
• Adhesion
• pelvic organ prolapse
• Tumors
• Peyronie’s disease in males
• Circumcision for phimosis and frenulum
• Neurectomy for post-herniotomy pelvic pain
• Release of Alcock’s canal, sacro-spinal, and sacrotuberous ligaments in Pudendal nerve entrapment
• If it is any medical disorder in males that is interfering with the erection of the penis, such as phimosis, surgery may be necessary.
• Vulvar vestibulectomy, or the complete removal of the vestibular mucosa, is a well-established treatment for provoked vestibulodynia (PVD) associated with neuron proliferation.