What happens if the bartholin gland is removed




















Removal excision of a Bartholin gland cyst is a minor surgical procedure. Because the vulva has an extensive blood supply, removing a Bartholin gland cyst can cause bleeding. This is best treated in a surgical setting. In a surgery center, you will be given whatever numbing and calming medicine you need for the procedure. If the cyst is painful, your doctor probably will recommend a general anesthetic to put you to sleep.

In rare cases, the entire Bartholin gland and duct are removed. This is often recommended for postmenopausal women with Bartholin gland problems because of the risk of cancer, which increases with age.

But simply draining a Bartholin cyst and testing the cyst tissue for cancer is also a reasonable first-time treatment. To lower your risk of infection, do not have sexual intercourse until the area is completely healed.

This can take several weeks. A cut is made in the abscess or cyst and the fluid is drained. A balloon catheter is then inserted into the empty abscess or cyst. A balloon catheter is a thin, plastic tube with a small, inflatable balloon on one end. Once inside the abscess or cyst, the balloon is filled with a small amount of salt water. This increases the size of the balloon so it fills the abscess or cyst. Stitches may be used to partially close the opening and hold the balloon catheter in place.

The catheter will stay in place while new cells grow around it epithelialisation. This means the surface of the wound heals, but a drainage passage is left in place. 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. Results: women were evaluated for the treatment of Bartholin abscess and of them were included in our study.

The final analysis was carried out on participants. There was no statistically significant difference among the study groups in terms of age, BMI, gravidity, parity, site of the abscess, and diameter of the abscess. No recurrence was observed in the gland excision group while 5 patients had a recurrence of the abscess in the marsupialization group.



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