Vulvar cancer treatment is not just about removing cancer — it is equally about preserving the woman’s quality of life, body image, and sense of self. Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi takes a reconstruction-first approach for women from Faridabad, ensuring that surgery is as conservative as oncologically safe and that any significant defect is reconstructed at the time of the primary operation.
Conservative Surgery — Removing Less When Safe
For early-stage vulvar cancer, a wide local excision (removing the tumour with a 1 cm margin of normal tissue) achieves the same cure rate as a radical vulvectomy. Dr. Monisha always performs the most limited operation consistent with a clear margin, preserving the clitoris, posterior fourchette, and perineum when they are not involved.
Reconstruction After Wide Excision
When a larger excision is required — for bigger tumours or after removal of inguinal lymph nodes — primary closure may leave unacceptable tension or distortion. Reconstruction options include:
- Lotus petal flap — a perforator flap from the inner thigh that recreates a natural vulvar contour
- Gluteal flap — for posterior defects near the perineum
- Rhomboid or Z-plasty rearrangements — for tension-free closure of moderate defects
Reconstruction is performed in the same operation as cancer removal, so women from Faridabad — including those from Sector 15, Sector 21C, NIT, NHPC Colony — do not need a second surgery for cosmetic repair.
Psychological Support
Vulvar cancer surgery affects intimacy and self-image. Dr. Monisha discusses these aspects honestly before surgery and refers patients to a psychosexual counsellor when needed.
Book a Consultation
Contact Dr. Monisha Gupta here — Fortis Hospital, Shalimar Bagh, New Delhi.
