Bartholins_Cyst_Abscess_Flashcards
What is the conservative approach for an asymptomatic (smaller) Bartholin’s cyst?
The conservative approach for an asymptomatic (smaller) Bartholin’s cyst includes sitz bath and warm compression.
What is the management for a symptomatic (larger) Bartholin’s cyst?
The management for a symptomatic (larger) Bartholin’s cyst includes marsupialisation, catheter drainage, and possibly oral broad-spectrum antibiotics. Other options include surgical excision, silver nitrate cauterisation, or sclerotherapy.
What does marsupialisation of a Bartholin’s cyst involve?
Marsupialisation of a Bartholin’s cyst involves suturing the internal aspect of the cyst to the outside of the cyst to prevent the cyst from reforming.
How long is a Word catheter left in place for Bartholin’s cyst drainage?
A Word catheter is left in place for 4-6 weeks for Bartholin’s cyst drainage.
What is the conservative management for a Bartholin’s abscess?
The conservative management for a Bartholin’s abscess includes sitz bath and analgesia.
When might incision and drainage be required for a Bartholin’s abscess?
Incision and drainage may be required for a Bartholin’s abscess if conservative management is not effective, and it should be accompanied by broad-spectrum antibiotics.
What additional treatments might be required for a Bartholin’s abscess after incision and drainage?
Additional treatments for a Bartholin’s abscess after incision and drainage may include marsupialisation or catheter insertion.
What are the risk factors for Bartholin’s cyst/abscess?
Risk factors for Bartholin’s cyst/abscess include being nulliparous, of child-bearing age, and having a history of previous Bartholin’s cyst.
How should the diagnosis of a Bartholin’s cyst/abscess be explained to a patient?
The diagnosis of a Bartholin’s cyst/abscess should be explained to a patient as a blockage of a duct in the vagina that has become infected.
What are the management options for Bartholin’s cyst/abscess?
Management options for Bartholin’s cyst/abscess include conservative observation, antibiotics, Word catheter insertion, and marsupialisation.
Why should an STI screen be recommended for patients with Bartholin’s cyst/abscess?
An STI screen should be recommended for patients with Bartholin’s cyst/abscess to rule out sexually transmitted infections that could be contributing to the condition.
