gynae lumps/ bumps

Question 1

where is bartholin’s gland located?

Answer 1

located either side of posterior part of vaginal introitus (vaginal opening

Question 2

how should a normal bartholin’s gland feel?

Answer 2

• Pea sized
• Not palpable

Question 3

what is the function of bartholin’s gland?

Answer 3

Function: produce mucus to help with vaginal lubrication

Question 4

what is the pathophysiology of bartholin’s cyst?

Answer 4

Pathophys: when ducts become blocked, bartholin’s gland
- Glands can swell and become tender – causing cyst
- Swelling is typically unilateral and forms fluid filled cyst between 1-4cm
- Can become infected and form a Bartholin’s abscess

Question 5

how would a bartholin’s abscess present?

Answer 5

: hot, tender, red and potentially draining pus

Question 6

what is the conservative management of bartholin’s cyst?

Answer 6

Conservative: usually resolve with simple management such as good hygiene, warm compresses
- Incision is generally avoided as the cyst will often reoccur

Question 7

when would a biopsy be indicated within bartholins cyst?

Answer 7

• Biopsy may be required if vulval malignancy  over 40

Question 8

how would you manage bartholin’s abscess?

Answer 8

Abscess: require Abx and swab of pus/ fluid from abscess and can be taken as culture of infective organism

Question 9

what is the common cause of bartholins abscess?

Answer 9

e.coli

Question 10

apart form cultures, what other investigation should be done with bartholin’s cyst?

Answer 10

• Send specific swab for chlamydia and gonorrhoea

Question 11

what surgical management is available for bartholins cyst?

Answer 11

Surgical: may be needed fro abscess
- Word catheter: Bartholin’s gland balloon – needs LA
- Marsupialization- requires GA