Bartholin’s glands are glands located at the entrance of the vagina on both sides on the right and left. Bartholin’s glands open to the entrance of the vagina with a thin channel just above the hymen. The task of the Bartholin glands is to make the vagina wet by giving secretion to the vagina during sexual intercourse, thus facilitating the entry of the penis into the vagina. Bartholin’s glands are not normally visible, but are visible if cysts or abscesses form
As a result of the obstruction of the duct connecting the Barholin gland to the vagina, for any reason, in any part of the duct, the secretion accumulates in the duct and a Bartholin cyst is formed. If the formed cyst becomes infected with bacteria, pus forms in it and thus a bartholin’s abscess is formed. The cyst or abscess is usually unilateral. Rarely, it can be bilateral.
Although it is most common in women of reproductive age and sexually active life, it can also be seen in virgin women.
The cause of a Bartholin’s cyst is not always clear. It can usually happen after a trauma to this area. If infection is added to this, a bartholin abscess occurs. Sexually transmitted bacteria can cause gonorrhea (gonorrhea), chlamydia infections, and sometimes multiple bacteria.
The diagnosis of Bartholin’s cyst and abscess is made by pelvic examination.
Bartholin’s cyst is usually painless. Its size can range from the size of a pea to the size of an orange.
It seriously affects the social life of the patient. It causes pain, redness, tenderness, difficulty in sitting and walking in the external genital area. Sometimes fever and malaise may also occur.
If there is any growth in bartholin gasoline after menopause, cancer may be considered. The cyst should be removed and sent to pathology.
Treatment of Bartholin’s Cyst and Abscess
If a Bartholin’s cyst is small and does not cause any complaints, no treatment is required. Bartholin’s gland should be preserved as much as possible in young women. If the Bartholin’s cyst is large and frequently recurring, it can be removed by surgery.
Bartholin’s cyst and abscess treatment; It can be done under local or sedation anesthesia.
The surgical method is the outward opening of the cyst wall, that is, the Marsupialization technique. In the Marsupialization technique, a 1-2 cm incision is made on the cyst or abscess, and the mucus or abscess in the gland is drained. In Marsupialization, the cyst wall is sutured outward to prevent the hole from closing. This surgery takes about 10 minutes. The patient is relieved and the bartholin gland is completely healed within 6-8 days.
Another option is to drain the abscess by making a small hole on the Bartholin’s abscess and placing 0.5 cm silver nitrate into the cloth and waiting for 24-48 hours. The cyst wall is then removed.
There is a new method called Word catheter application in the treatment of Bartholin cyst and abscess. In this method, the cyst or abscess is drained with a small hole. The balloon part of the word catheter is placed inside and the catheter balloon is inflated with 2-3 cc of saline. The other end of the catheter is placed in the vagina. This catheter is left here for 4-6 weeks, in this way the outflow of the fluid in the gland is ensured. This reduces the recurrence rate.
If Bartholin’s cyst or abscess recurs very often, it is necessary to completely remove the gland by surgery. However, it is not a preferred method. It is tried to protect the Bartholin glands as much as possible.