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Journal of Education, Health and Sport

Surgical management options for Bartholin’s gland abscess
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Surgical management options for Bartholin’s gland abscess

Authors

  • Adrianna Krupa Medical University of Lublin https://orcid.org/0000-0003-0866-3952
  • Ewa Piasek Medical University of Lublin https://orcid.org/0000-0003-3344-4022

DOI:

https://doi.org/10.12775/JEHS.2020.10.09.081

Keywords

Bartholin’s gland cyst, Bartholin’s gland abscess, surgical procedures

Abstract

Bartholin's glands, also known as greater vestibular glands, are two mucus-secreting glands located in the posterolateral wall of the vagina opening. The function of these glands is to produce mucus that moisturizes the vestibule of vagina. When the outflow path from the gland is blocked, a cyst forms. When the abscess is formed usually it is infections with a polymicrobial background.The most common symptoms of a Bartholin's gland cyst or abscess include pain in the vulva, swelling, difficulty walking, dyspareunia, and fever.

The procedure of choice in this case is surgery. The operator can choose from among many possible options, among others there is simple incision and drainage of the cyst, marsupialization, a Word catheter, silver nitrate application, alcohol sclerotherapy, excision and laser CO2 and, as a last resort, surgical removal of the gland.

The aim of this study is to review the most common surgical procedures used in Bartholin's gland cyst or abscess.

Author Biographies

Adrianna Krupa, Medical University of Lublin

Adrianna Krupa, MD, adriannakrp@gmail.com, ORCID:0000-0003-0866-3952

Department of Human Anatomy, Medical University of Lublin, Jaczewskiego 4 Street, 20- 090 Lublin, Poland

Ewa Piasek, Medical University of Lublin

Ewa Piasek, MD, ewa.piasekk@gmail.com, ORCID:0000-0003-3344-4022

I Clinic of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Jaczewskiego 8, 20-954, Lublin, Poland

References

Berger MB, Betschart C, Khandwala N, DeLancey JO, Haefner HK. Incidental Bartholin gland cysts identified on pelvic magnetic resonance imaging. Obstet Gynecol 2012;120:798–802. DOI: 10.1097/AOG.0b013e3182699259

Kaufman RH (1994) Benign diseases of the vulva and vagina, 4th edn. Mosby, St. Louis, pp 168–248.

Wechter ME, Wu JM, Marzano D, Haefner H. Management of Bartholin duct cysts and abscesses: a systematic review. Obstetrical & gynecological survey. 2009 Jun 1;64(6):395-404. doi: 10.1097/OGX.0b013e31819f9c76.

Omole F, Simmons BJ, Hacker Y (2003) Management of Bartholin’s duct cyst and gland abscess. Am Fam Physician 68(1):135–140. PMID: 31194482

Illingworth BJ, Stocking K, Showell M, Kirk E, Duffy JM. Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology. 2020 May;127(6):671-8. DOI: 10.1111/1471-0528.16079

Marzano DA, Haefner HK. The Bartholin gland cyst: past, present and future. J Low Genit Tract Dis. 2004;8:195–204. DOI: 10.1097/00128360-200407000-00006

Nohuz E, Lamblin G, Lebail-Carval K, Barfety G, Chabert P, Chêne G. Minimally invasive management of Bartholin gland abscesses (with demonstrative video). Journal of Gynecology Obstetrics and Human Reproduction. 2020 May 20:101809.DOI: 10.1016/j.jogoh.2020.101809

Kroese JA, van der Velde M, Morssink LP, Zafarmand MH, Geomini P, van Kesteren P, et al. Word catheter and marsupialisation in women with a cyst or abscess of the Bartholin gland (WoMan-trial): a randomized clinical trial. BJOG 2017;124:243–9. DOI: 10.1111/1471-0528.14281

Ozdegirmenci O, Kayikcioglu F, Haberal A. Prospective randomized study of marsupialization versus silver nitrate application in the management of Bartholin gland cysts and abscesses. Journal of minimally invasive gynecology. 2009 Mar 1;16(2):149-52. DOI: 10.1016/j.jmig.2008.10.006

Mungan T, Uğur M, Yalcın H, Alan S, Sayigan A. Treatment of Bartholin’s cyst and abscess: excision versus silver nitrate insertion. Eur J Obstet Gynecol Reprod Biol. 1995;63:61–63. DOI: 10.1016/0301-2115(95)02229-z

Kafali H, Yurtseven S, Ozardali I. Aspiration and alcohol sclerotherapy: a novel method for management of Bartholin’s cyst or abscess. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2004 Jan 15;112(1):98-101. DOI: 10.1016/s0301-2115(03)00241-0

Frega A, Schimberni M, Ralli E, Verrone A, Manzara F, Schimberni M, Nobili F, Caserta D. Complication and recurrence rate in laser CO 2 versus traditional surgery in the treatment of Bartholin’s gland cyst. Archives of gynecology and obstetrics. 2016 Aug 1;294(2):303-9. DOI: 10.1007/s00404-016-4045-6

Markusen TE, Barclay DL. Benign disorders of the vulva and vagina. In: DeCherney AH, Nathan L, editors. Current Obstetric and Gynecologic Diagnosis and Treatment. 9th ed. Los Angeles: McGraw Hill; 2003. p. 651–676.

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Published

2020-09-24

How to Cite

1.
KRUPA, Adrianna and PIASEK, Ewa. Surgical management options for Bartholin’s gland abscess. Journal of Education, Health and Sport. Online. 24 September 2020. Vol. 10, no. 9, pp. 671-675. [Accessed 1 July 2025]. DOI 10.12775/JEHS.2020.10.09.081.
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Vol. 10 No. 9 (2020)

Section

Review Articles

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