CPT® Code 56625

A simple vulvectomy, specifically a complete vulvectomy, involves the surgical removal of all structures of the vulva, which includes the mons pubis, labia majora and minora, clitoris, vaginal vestibule and glands, as well as the openings of the urethra and vagina. This procedure is typically indicated for the treatment of severe leukoplakia or confirmed malignancies of the vulva, such as extensive carcinoma in situ, microinvasive carcinoma, or Paget's disease. Unlike a radical vulvectomy, which extends into the perineal fascia, a simple vulvectomy is confined to the vulvar structures without deeper tissue involvement. The procedure is tailored to the specific location and extent of the disease, ensuring that excision margins are marked to include an adequate amount of healthy tissue surrounding the affected area. The surgical approach begins with an incision that is strategically placed to facilitate the complete removal of the vulvar structures while minimizing damage to surrounding tissues.