It was under general anesthesia, and it went well, insofar as it has been healing - now at 5 weeks.

I had the entire vulvar area addressed with the laser ablation. The first 3 weeks of excruciating pain at bathroom visits seems to be over, but it has been replaced with more constant itching, particularly at night, interfering with sleep.

I go for another biopsy in 4 days to follow up on the 1 of 4 biopsies (pre-procedure) that is of concern. This will be under "deep twilight" as an outpatient at the hospital, as before, though not under the general anesthesia I had the first time, in early Feb.

I understand I can go back to the Clobetasol after the healing is complete, but I expect to be going for 6-month checks with my Gynecologic Oncologist for at least the next 5 years, and that it will need to be followed closely for the rest of my life. I only hope this last week of itchiness is temporary, as I had no such issues pre-surgery. The Clobetasol I used as needed before the procedure I hope will be all I need to manage the LS going forward. But it is never going to be "healed", or cured, or gone.

But, as you may have heard, everyone is different. Speak with your OBGYN, ASK Qs, specific Qs, and don't feel hesitant to do so.

Happy to answer more Qs if that can help. It really helped me to read the ONE posting I saw on cancer.org (American Cancer Society), even though it was posted in 2014. I recently posted an answer there in response to another LS patient's Qs.

Best wishes!