However, they can be considered if the patient is systemically unwell, or immunocompromised.Ī Bartholin’s cyst is a fluid-filled sac within one of the Bartholin’s glands of the vagina. Note: Antibiotics are generally not used in the management of a Bartholin’s cyst or abscess. There is no evidence to routinely pack the cavity after any of these procedures. Complete excision of the gland is rarely performed – and usually only in cases of suspected malignancy. Less commonly used techniques include silver nitrate cautery, carbon dioxide laser and needle aspiration. Complications include bleeding/haematoma, dyspareunia and infection.This requires a general anaesthetic to achieve good marsupialisation The cyst wall is then everted and approximated to the end of the vaginal mucosa by sutures. Marsupialisation – a vertical incision is made into the cyst, behind the hymenal ring, allowing for spontaneous drainage of the cavity.Complications include infection, recurrence, dyspareunia and scarring.It can be performed under local anaesthesia in a clinic. This technique is not suitable for deep cysts or abscesses.
It is left in place for 4-6 weeks to allow epithelisation of the surgically created tract. The tip is inflated with 2-3ml of saline. Word Catheter – an incision is made into the cyst or abscess, and a catheter is inserted.However, simple incision and drainage without marsupialisation or placement of a Word catheter means that the accumulation of fluid is likely to reoccur (due to further outflow obstruction). There is no high quality evidence comparing different treatment options. Treatment is usually by Word Catheter or marsupialisation. Warm baths can be recommended to the patient, as they may stimulate spontaneous rupture. If the cyst is small and asymptomatic, no treatment is required.
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