Epithelialisation usually takes around 4 weeks, although it can take longer. After epithelialisation, the balloon will be drained and the catheter removed. If a cyst or abscess keeps coming back, a surgical procedure known as marsupialisation may be used. The cyst is first opened with a cut and the fluid is drained out. The edges of the skin are then stitched to create a small "kangaroo pouch", which allows any further fluid to drain out.
When the procedure is complete, the treated area may be loosely packed with special gauze to soak up fluid from the wound and stop any bleeding. This will usually be removed before you go home. Marsupialisation takes about 10 to 15 minutes and is usually performed as a day case procedure, so you won't have to stay in hospital overnight. It's usually carried out under general anaesthetic, although local anaesthetic can be used instead.
After marsupialisation, you'll be advised to take things easy for a few days. You should avoid having sex until the wound has completely healed, which usually takes about 2 weeks. Surgery to remove the affected Bartholin's gland may be recommended if other treatments haven't been effective and you have repeated Bartholin's cysts or abscesses.
This operation is usually carried out under general anaesthetic and takes about an hour to complete. You may need to stay in hospital for 2 or 3 days afterwards. Risks of this type of surgery include bleeding, bruising and infection of the wound. If the wound does become infected, this can usually be treated with antibiotics prescribed by your GP.
There are a number of alternative ways of treating a Bartholin's cyst, but they're less commonly used or aren't widely available. These are described below. Silver nitrate is a mixture of chemicals sometimes used in medicine to burn cauterise blood vessels to stop bleeding.
A small, solid stick of silver nitrate is used in silver nitrate gland ablation. A cut is made in the skin surrounding your vagina and the wall of the cyst or abscess. The cyst or abscess is then drained and the stick of silver nitrate is inserted into the empty space left after draining the fluid. Possible complications can include excessive bleeding, bruising, and infection. This method is often recommended for postmenopausal women, because of the increased risk of vulvar cancer.
If you are over the age of 40 or postmenopausal and develop a cyst, you should immediately contact your doctor. If the cyst does not go away within a few days of home treatment, you should contact your doctor for further instruction. Symptomatic and infected cysts can take a few weeks to fully heal. Contact your doctor to talk about surgical methods if this type of cyst becomes chronic.
If you have concerns about any abnormalities that appear in the areas surrounding your genitals, it is always a good idea to contact a healthcare professional to receive the best advice moving forward. Visit our website to learn more about Dr. Ellman and the service he provides.
Professional Treatment If the cyst does not go away after multiple days of self-care, it might be necessary to seek professional treatment. Antibiotics If the cyst has become infected and painful, your doctor will most likely prescribe antibiotics for cysts, which can kill the bacteria that caused the infection.
Surgical Methods Although the bartholin cyst removal is uncommon, your doctor may recommend it to prevent any further complications to the area. Interested in AAFP membership? Learn more. LENSE, m. Lense is a graduate of the University of South Florida College of Medicine, where he also served a residency in obstetrics and gynecology.
Address correspondence to D. Ashley Hill, M. Rollins Ave. Reprints are not available from the authors. The authors thank Susan Hill, M. Droegemueller W. Comprehensive gynecology. Louis: Mosby, —9. Altstiel T, Coster R. Bartholin cyst presenting as inguinal hernia. Cheetham DR. Bartholin's cyst: marsupialization or aspiration?
Am J Obstet Gynecol. Word B. Office treatment of cysts and abscesses of Bartholin's gland duct. S Med J. The long term results after marsupialization of Bartholin's cysts and abscesses. J Obstet Gynaecol Br Commonw. Curtis JM. Marsupialisation technique for Bartholin's cyst. Aust Fam Physician.
Window operation: an alternative treatment method for Bartholin gland cysts and abscesses. Obstet Gynecol. Treatment of Bartholin's abscess. Marsupialization versus incision, curettage and suture under antibiotic cover. A randomized study with 6 months' follow-up.
Acta Obstet Gynecol Scand. Treatment of Bartholin's cyst and abscess: excision versus silver nitrate insertion. Outpatient management of Bartholin gland abscesses and cysts with silver nitrate. Lashgari M, Curry S. Preferred methods of treating Bartholin's duct cyst. Septic shock complicating drainage of a Bartholin gland abscess.
Brook I. Aerobic and anaerobic microbiology of Bartholin's abscess. Surg Gynecol Obstet. Johnson CA. Bartholin's gland cancer. Am Fam Physician. Postmenopausal bartholin gland enlargement: a hospital-based cancer risk assessment.
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