Management of Bartholins Abscess TOG 2022

Question 1

How common is Bartholins Cyst abscess

Answer 1

2%

Question 2

Risk factors for Bartholins Abscess

Answer 2

P0
Sexually active <40yrs
Previous vulval surgery/rtrauma e.g FGM

Question 3

What is the risk of recurrence with words catheter and marsupilisation?

Answer 3

Words - 12%
Marsupilisation 10%

Question 4

How much saline is used to inflate words balloon

Answer 4

2-3mls

Question 5

Risk of premature expulsion with words catheter?

Answer 5

23%

Question 6

In which patients is a words catheter contraindicated?

Answer 6

Larex allergy

Question 7

How long should a words catheter remain in situ?

Answer 7

4-6 weeks

Question 8

What is the recurrence rate with a Jacobi ring?

Answer 8

4%
Less popular as need to make 2 incision but low risk of expulsion

Question 9

What sutures to use for Marsupilisation?

Answer 9

2.0 or 3.0 vicryl

Question 10

When can have sexual intercourse after words catheter and marsupilisation

Answer 10

Words - straight away
Marsupilisation after 5 days

Question 11

Most common cancer associated with Bartholins gland

Answer 11

Squamous cell carcinoma, associated with HPV 16

Consider if >40yrs

Question 12

What treatment can be consider for Recurrent Batholins cyst

Answer 12

Can consider excision of cyst - risk haematoma, cellulitis and dyspareunia