Bartholin's cyst

Question 1

What is Bartholin’s cyst

Answer 1

Cyst or abscess of bartholins gland (greater vestibular glands)- gland on either side of vagina (near bottom)

usually a result of blockage of duct

that CAN become infected

can lead to overlying superinfection by staphylococcus or GBS

RF- nullparitous, previous bartholins cyst, sexuall active

( bartholins can extend in vagina, while labial cyst cannot)

Question 2

Sx and Ix of Bartholin’s cyst

Answer 2

UNILATERAL labial swelling - one big roung cyst
often asymptomatic/painless

when infected - cardinal signs of infections,
fever dyspareunia, pain on sitting/walking

Ix–
clinical diagnosis–
can do biopsy if over 40y/o
if infected MC&S from absess but most are sterile

Question 3

Mx and complications of Bartholin’s cyst

Answer 3

Mx - conservative -draining and patient well. Don’t do drainage anymore-it’s not a cure just a sx relief.
Incision and drainage, catheter + OD
masrupialisation -forming open pouch to stop cyst from reforming

complications - rupture, recurrence