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Surgery for vulval cancer

On the day of your vulval cancer surgery

On the day of your surgery for vulval cancer the nurse will check you are ready for the operation. You sign a consent form for the operation if you didn't do it at the pre assessment clinic.

A few hours before

Your nurse will take some measurements. These include your temperature, blood pressure, oxygen levels, heart and breathing rate. 

The nurse or doctor will put a small tube into your arm (cannula). You can have medicines and fluids directly into your bloodstream via the cannula. You might have a drip (intravenous infusion) before your surgery. This is to make sure you're not dehydrated before your operation.

Your nurse will go through a series of questions on a checklist to make sure you are ready for surgery. They ask you to:

  • tell them when you last had something to eat and drink 

  • change into a hospital gown

  • put on a pair of anti embolism stockings - these help prevent blood clots

  • take off any jewellery - you may be able to keep a wedding ring on

  • remove contact lenses if you have them

  • wear a hospital identification band - this is normally on your wrist

If you have false teeth you can usually keep them in until you get to the anaesthetic room.

For some types of surgery, your nurse asks if they can remove the hair around the operation area. This is to help prevent an infection. They might remove the hair on the ward before you go for your operation. Or when you’re in the operating theatre.

Medicine to relax

Your nurse might give you a tablet or an injection to help you relax. This will be an hour or so before you go to the operating theatre. This makes your mouth feel dry. But you can rinse your mouth with water to keep it moist. 

Your nurse and a porter take you to theatre on a trolley if you’ve had this medicine. You can walk down to the theatre if you haven't had any.

Having an anaesthetic

You have an anaesthetic so that you can’t feel anything during the operation. You have this in the anaesthetic room or the operating theatre.

All the doctors and nurses wear theatre gowns, hats and masks. This reduces your chance of getting an infection.

The ​​ puts a small tube (cannula) into a vein in your arm. You have any fluids and medicines you need through the cannula including the general anaesthetic. This sends you into a deep sleep. When you wake up, the operation will be over.

Before your operation your anaesthetist might put a small tube through the skin of your back. It goes into the fluid around your spinal cord. They can attach a pump to this tube to give you pain medicines during and after the operation.

Find out what to expect when you wake up from surgery and the possible side effects

Last reviewed: 03 Sept 2025

Next review due: 03 Sept 2028

Types of surgery for vulval cancer

Surgery is the main treatment for vulval cancer. The type of surgery you need depends on how big the cancer is and how much of your vulva is affected.

After vulval cancer surgery

Your recovery will depend on the type of surgery you have. You may need to spend a few days in the hospital and then give yourself time to recover once you are home.

Before your vulval cancer surgery

Before your operation you have some tests and meet members of your treatment team.

Treatment for vulval cancer

Your treatment depends on a number of factors. Surgery is the most common treatment for vulval cancer.

Surgery for vulval intraepithelial neoplasia (VIN)

Surgery is a common treatment for VIN. You usually have a type of surgery called a wide local excision.

Vulval cancer main page

Vulval cancer is a rare cancer. It can start in any part of the female external sex organs, the vulva. The treatment you need depends on how big the cancer is and whether it has spread.

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