Immediate clearance of Vestibular papillomatosis
Using Hyfrecation, you don’t need to wait for results to be seen
Same Day Treatment
For those who have filled out the questionnaire with images
Friendly & Professional
Our experienced clinicians are here to make the process as smooth & easy as possible for you
Our Method – Hyfrecation
Numbing cream or penile block
Number of visits
Procedure + Follow Up (if needed)
Length of appointments
90 minutes + 30 minutes (if needed)
Continue with your day, minimising physical activity
Whilst Hyfrecation is an established treatment method and has been in practice for more than 80 years, it is a lesser well known method of treatment compared to Laser in the UK.
Hyfrecation is a minor surgical procedure that works by burning off skin lesions using electrocautery and results in the immediate clearance of these lesions.
Carried out under local anaesthesia, Hyfrecation is a very safe procedure which achieves clear results in almost 100% of patients for the treatment of vestibular papillomatosis. Sometimes a touch up may be needed a couple of weeks later to achieve the best results.
The procedure will leave a small raw area which should heal over in a few days. Being a medical procedure, it is essential to be aware of any possible side effects.
Possible short term side effects include bleeding, bruising, soreness and infection. Long term side effects are rare, but can include change in skin colour, scarring, development of neuralgic pain and loss of sensation over the treated area.
It is important to understand that treatment of Vestibular papillomatosis is a cosmetic procedure. As such, if your life is unaffected by this, then you absolutely do not need to get treated.
However, if you find that your relationships, wellbeing and lifestyle is affected then we will discuss this with you to make sure that treatment is the correct route to take.
How do I know if I am eligible for treatment?
Whilst it is only really after seeing you that we can make sure that you are eligible for treatment, submitting the questionnaire (with pictures) will give us a very good idea of your eligibility.
From what age can I get this treatment?
We only see patients from the age of 18 and above at our clinic.
Are there any health conditions that might stop me from getting this treatment?
Those with uncontrolled arrhythmia, hypotension (less than 90/50 mm Hg), or uncontrolled hypertension, and those who have had a stroke within the last 6 months are advised against having hyfrecation.
Hyfrecation is not recommended If you have an implantable defibrillator or a pacemaker.
If you are unaffected by the above conditions, hyfrecation can be safely undertaken as long as the vulval skin and mucosa are healthy. Occasionally, we may have to treat any underlying bacterial, viral or fungal infections (if present) before hyfrecation can be performed. If you are on your period, you can still have hyfrecation treatment as long as the bleeding is not heavy and your VP can be seen.
The consultation and procedure happen in one appointment, as long as it’s safe to do so.
In order to be prepared and leave plenty of time for discussion and procedure, we will ask you to fill out a simple questionnaire.
We will assess and confirm your Vestibular papillomatosis, discuss any questions you have and the treatments available.
We recommend a follow up (within 4 weeks) to ensure that we’ve done a good job and if any further treatment is needed, we want to do it for you.
If you’ve just had treatment from us and are seeking advice on recovery and after, we’ve got the right information for you just here.
Can Vestibular papillomatosis be removed?
Vestibular papillomatosis (VP) can be removed using Hyfrecation if it is affecting your relationships or wellbeing. It is important to understand that having VP poses no risk to your or your partners’ health.
Although the removal of VP is typically permanent, there are rare instances where VP can reoccur.
Why do patients consider having Vestibular papillomatosis removed?
- The appearance of Vestibular papillomatosis (VP) often leads to dissatisfaction among patients, impacting their self-esteem.
- The presence of large papillae can be mistaken for genital warts, causing concern for patients and unnecessary worry for their partners.
- On occasion, patients may only become aware of VP after significant life events such as contracting a sexually transmitted infection (STI), discovering their partner's infidelity, or experiencing intense guilt from cheating on their partner. In certain cases, women may request the removal of VP due to the distressing memories it evokes and the subsequent anxiety it causes.
What benefits are there to treating Vestibular papillomatosis?
There are a few benefits to having Vestibular papillomatosis (VP) treated, these include:
- Cosmetic relief: some women with VP are not happy with the way that VP looks and this can affect their mental wellbeing.
- Improved confidence: some women with VP can feel embarrassed about their vulva as a result of having VP. By having it removed, this can increase their self-confidence.
Not everyone with VP will be bothered by its appearance. If it is not affecting your mental health you do not need to have your VP removed.
When is the best time to book my Vestibular papillomatosis treatment?
The treatment for Vestibular papillomatosis is a straightforward procedure that can be scheduled according to your convenience. However, we recommend taking ample time to carefully consider your decision to undergo treatment, ensuring that it aligns with your personal wishes and preferences.
Is there anything I can do at home if I have Vestibular papillomatosis?
There are no home remedies that have been shown to be effective at treating Vestibular papillomatosis as it is not something that needs to be treated.
It is strongly advised against attempting any home remedies, such as physically removing, burning, squeezing or popping the papules, or using over-the-counter remedies for Vestibular papillomatosis (VP). Engaging in such practices can lead to scarring, as we have observed in patients who have resorted to these methods to remove VP.
If you notice any new lesions on your genitals, it is important to see a healthcare professional for an accurate diagnosis.
Before the appointment
How can I prepare for my appointment?
We recommend that you do the following before your appointment:
- Shower on the day of your appointment to reduce the risk of infection.
- Have a meal in the morning of the procedure.
- Take 2 paracetamol tablets, 1 hour before your appointment time for pain relief.
We recommend that you drive or use public transportation to attend your appointment and to get home. Cycling is not recommended.
Will I need to take time off after my appointment?
You should be able to return to your normal day after the procedure, as long as your job is not physically demanding.
Can I bring someone with me?
You can bring a partner, friend or family member to your appointment.
However, if you feel that you would rather not bring someone to the appointment, rest assured that our staff are here to support you and make you comfortable in any way possible. Clarewell Clinics is a safe space.
What travel arrangements should I make for after the appointment?
You do not need to make any special arrangements for after your procedure. However, if you would feel more comfortable, you may request a family member, friend, or partner to accompany you on the way home.
We recommend that you drive or use public transportation to get home. Cycling is not recommended.
Will my insurance cover this procedure?
You will need to check with your healthcare insurance provider & policy if they cover treatment for Vestibular papillomatosis. We highly recommend getting approval in writing to avoid any miscommunication with your insurance company.
In most cases, patients pay for their procedure out of pocket.
During the appointment
How will the appointment work?
After you have arrived, we will invite you in for the initial consultation.
Once we have examined you, we will proceed to prepare you for the procedure (as long as you have booked in for same day treatment). This will involve going through the consent form, taking any pre-procedure pictures and applying the numbing cream in privacy.
After letting the numbing cream settle for approx. 30-45 minutes, we will confirm the total numbness of the skin and proceed to remove the lesions.
After the procedure, we will offer you aftercare advice and provide you with an aftercare pack with some items to help with the recovery.
Will the procedure hurt?
Your clinician will confirm the total numbness of skin before undertaking the procedure.
Please alert your clinician if you do feel pain or discomfort. You are able to have more local anaesthetic, and take a break if needed.
Can I listen to my music during the procedure?
Yes, absolutely you can. Please let us know at the time of your booking (or upon your arrival) so that we are ready to accommodate your wishes.
After the appointment
What should I expect after my appointment?
You may experience a little soreness at the operated site. This is completely normal and standard painkillers can help with this. You are able to continue with your daily life as soon as you leave the clinic.
How long will it take for my side effects to go away?
Most discomfort that you may feel in the operative area should disappear within a day or two. This will of course vary depending on the extent of the lesions that were treated.
What do I do if I think I have a problem after the appointment?
We recommend all patients have a thorough read of the information above as it will help with key questions.
If you think that something is wrong, please request a follow up call by contacting our clinic.
How soon after my appointment can I have sex?
It is advised to abstain from sex and avoid masturbation until healing is complete (approx. 1-2 weeks). Having intercourse during the healing process can increase the risk of infection, scarring or bleeding.
Will I require a follow up appointment after my appointment?
Your clinician can sometimes see a residual lesion that you may not be able to identify. As such, all patients are offered a follow-up appointment within 4-6 weeks after their procedure. This will also give you a chance to ask any further questions that you may have.
Don’t wait months.
Genital Dermatology Consultation £150
Genital Dermatology Consultation + Patch Test + Main Procedure + Follow Up (optional) £1050
Follow up (within 4 weeks) Included
Find out if you can claim your visit
Page reviewed by Dr Manoj Malu
Page written by Shannon Abraham
Last reviewed date: 13 June 2023
Next review due: 13 June 2023
Whilst this content is written and reviewed by sexual health specialists, it is for general guidance only.
It is not intended to replace the advice of your clinician.
References & Further Reading
- Journal of Lower Genital Tract Disease: Novel Advancements in Colposcopy
- Journal of Gynaecology and Women’s Health: Vestibular Papillomatosis Confused to Genital Warts in A Pregnant Woman
- Healthline: Vestibular Papillomatosis: Treatment, Causes, and Symptoms
- Science Direct: Benign “lumps and bumps” of the vulva: A review