Vulvar D/O Flashcards
Where are the Bartholin Glands?
Should you be able to palpate them?
4 o’clock and 8 o’clock locations on the periphery of the vagina
If normal, no
____ is a blocked Bartholin duct w/ an accumulation of mucus
Bartholin Gland Cyst
___ is an obstructed Bartholin duct that becomes infected–> Women who are at higher risk of ____ are at higher risk of this.
Bartholin Gland Abscess
STIs
What are some S/s of a Bartholin Gland Cyst?
Usually, asymptomatic! Probably a coincidental finding on exam
Larger cysts may cause discomfort
What are some S/s of a Bartholin gland abscess?
- Acute pain, unable to walk, sit, nor have intercourse
- Fever
- Prior hx of Bartholin cyst or abscess
- Unilateral, warm, tender, soft or fluctuant mass in lower medial labia majora, can extend into upper labia
- Can be surrounded by erythema and edema
- Purulent spontaneous drainage possible
What is the management for a Bartholin gland cyst?
No intervention if asymptomatic!
> 40 y/o—Incision and Drainage w/ bx to exclude malignancy
If symptomatic, manage same as abscess
What is the management for a Bartholin gland abscess?
- Spontaneous drainage, analgesics, sitz baths
- Incision and Drainage w/ placement of a Word Catheter
- Culture/NAAT of purulent discharge (STI, MRSA)
- Incision and Drainage w/ marsupialization if recurrent
Definitive tx = gland excision
Abx = only for recurrent abscess, MRSA or STI positive, high risk of sepsis