@jakofin Welcome to Mayo Clinic Connect. I hope you will find our Gynecological Cancers Group to be supportive. There are many members here who have experienced vulvar cancer @andwho @tilli @jchantler @melindab2 and they frequently post to support one another.

Vulvar Cancer: Anyone Else?
https://connect.mayoclinic.org/discussion/vulvar-cancer-1/?pg=19#chv4-comment-stream-header
I have not had vulvar cancer. I had a radical hysterectomy when I was diagnosed with endometrioid adenocarcinoma (endometrial cancer) in 2019 and radiation therapy in 2021 after a recurrence was diagnosed. I have had constipation off and on for many years.

It sounds like you are doing all you can with your diet and nutrition. Do you go for walks? I’ve learned that movement, especially walking, helps to get your bowels moving. I have used various over-the-counter remedies that work slowly but eventually do work. These include Citrucel and MiraLAX. I suggest you check with your doctor or your surgeon before trying these.

Did your surgeon recommend a laxative before surgery? Or are you being cautious in case the constipation increases after your surgery? If yes to the second question then well done to get yourself prepared.