Vulvar biopsy is done to evaluate growths on the vulva. Vulvar biopsy is a common procedure and is most often done right in a doctor’s office. Biopsies may be indicated when there is a visible lesion, persistent itching and to determine malignancy. Skin samples may be removed with a scalpel or a special, circular tool that uses a twisting motion to extract a section of the skin, called a “punch” biopsy.” Usually a local anesthetic is used to numb the area before the procedure begins. Medication or suture may be used to stop bleeding. Sitz baths are recommended afterward, if there are no sutures. If the wound is sutured, then showers are recommended after about a day or so. Either way, the area should be kept clean and dry while healing. The tissue will be examined by a special doctor, called a pathologist. Your doctor should have results in several days. If you do not hear from them in seven days, you should call and ask for the result.
Risks include bleeding, infection, scarring, and allergic reaction to local anesthetic.