Torbiel bartholina
Charakterystyka, pielęgnacja i opieka

Torbiel Bartholina to patologiczne poszerzenie przewodu gruczołu Bartholina, występujące u około 2% kobiet w wieku rozrodczym, spowodowane zablokowaniem wydzielania nawilżającego. Klinicznie może przebiegać bezobjawowo lub manifestować się bolesnym guzem, zaczerwienieniem, obrzękiem, bólem podczas chodzenia i stosunku, a także gorączką w przypadku infekcji. Diagnostyka opiera się na badaniu fizykalnym, z rzadkim wskazaniem do biopsji u kobiet po menopauzie. Leczenie zachowawcze obejmuje kąpiele nasiadowe (3-4 razy dziennie po 15-20 minut), ciepłe kompresy oraz leki przeciwbólowe (paracetamol, ibuprofen). W przypadku ropnia wskazana jest antybiotykoterapia, szczególnie przy objawach ogólnoustrojowych lub niepowodzeniu drenażu z cewnikiem Worda.

Wprowadzenie do torbieli Bartholina

Torbiel Bartholina to wypełniony płynem guz występujący w okolicach ujścia pochwy, powstający na skutek zablokowania przewodów gruczołów Bartholina. Gruczoły te zlokalizowane są po obu stronach wejścia do pochwy i odpowiadają za wydzielanie płynu nawilżającego okolice pochwy, szczególnie podczas stosunku seksualnego. Gdy przewód gruczołu zostanie zablokowany, płyn gromadzi się i tworzy torbiel, która może zostać zainfekowana i przekształcić się w ropień. Stan ten dotyczy około 2% kobiet, głównie w wieku rozrodczym.123

Objawy i diagnoza torbieli Bartholina

Torbiele Bartholina mogą być bezobjawowe, zwłaszcza jeśli są małe. Większe torbiele lub te, które uległy zakażeniu, mogą powodować:45

  • Bolesny guz po jednej lub obu stronach wejścia do pochwy
  • Zaczerwienienie i obrzęk
  • Ból podczas siedzenia lub chodzenia
  • Dyskomfort podczas stosunku płciowego
  • Wydzielinę z pochwy
  • Uczucie ucisku w okolicy pochwy
  • Gorączkę (w przypadku infekcji)

Diagnoza torbieli Bartholina opiera się na badaniu fizykalnym. W rzadkich przypadkach, zwłaszcza u kobiet po menopauzie, może być zalecana biopsja w celu wykluczenia nowotworu.6

Opieka pielęgnacyjna nad pacjentką z torbielą Bartholina

Właściwa opieka pielęgnacyjna jest kluczowa w leczeniu torbieli Bartholina, bez względu na wybraną metodę terapeutyczną. Poniżej przedstawiono najważniejsze elementy opieki pielęgnacyjnej.78

Metody leczenia zachowawczego

W przypadku małych, bezobjawowych torbieli, często nie jest wymagane leczenie. Jeśli torbiel powoduje dyskomfort, zaleca się:910

  • Kąpiele nasiadowe (sitz baths) – siedzenie w ciepłej wodzie (3-4 razy dziennie przez 15-20 minut) przez kilka dni może pomóc w naturalnym drenażu torbieli
  • Ciepłe kompresy – przykładanie ciepłego, wilgotnego materiału do torbieli
  • Leki przeciwbólowe – stosowanie paracetamolu lub ibuprofenu w celu zmniejszenia bólu

Ważne jest, aby nie próbować samodzielnie wyciskać lub drenować płynu z torbieli, gdyż może to prowadzić do infekcji.11

Edukacja pacjentki i promocja zdrowia

Pielęgniarka powinna edukować pacjentkę w zakresie:1213

  • Prawidłowego wykonywania kąpieli nasiadowych
  • Utrzymania higieny okolic krocza
  • Unikania drażniących środków higienicznych (perfumowane mydła, płyny, spraye)
  • Noszenia luźnej, bawełnianej bielizny
  • Unikania stosunków płciowych w okresie leczenia, szczególnie po zabiegach chirurgicznych

Pacjentka powinna być poinformowana o konieczności zgłoszenia się do lekarza w przypadku pojawienia się następujących objawów:1415

  • Gorączka
  • Nasilenie bólu lub obrzęku
  • Utrzymująca się lub zwiększająca się wydzielina z pochwy
  • Brak poprawy po 2-3 dniach stosowania leczenia zachowawczego

Postępowanie w przypadku zakażenia torbieli Bartholina

Antybiotykoterapia

Jeśli torbiel Bartholina jest zainfekowana (ropień), pacjentce przepisuje się antybiotyki. Antybiotykoterapia jest zalecana w następujących przypadkach:1617

  • Niepowodzenie początkowego nacięcia i drenażu z umieszczeniem cewnika Worda
  • Objawy ogólnoustrojowe, w tym gorączka
  • Podejrzenie sepsy
  • Pacjentki o wysokim ryzyku nawrotu

Jeśli lekarz przepisał antybiotyki, należy przyjmować je zgodnie z zaleceniami. Istotne jest dokończenie całego kursu antybiotyków, nawet jeśli objawy ustąpią.1819

Procedury chirurgiczne

W przypadku dużych, bolesnych torbieli lub ropni, które nie reagują na leczenie zachowawcze, może być konieczne zastosowanie jednej z procedur chirurgicznych:2021

  • Drenaż z zastosowaniem cewnika Worda – polega na wykonaniu małego nacięcia w torbieli i wprowadzeniu balonowego cewnika, który pozostaje w miejscu przez około 4 tygodnie, pozwalając na ciągły drenaż płynu
  • Marsupializacja – procedura chirurgiczna, w której wykonuje się nacięcie w torbieli, a następnie zaszywają się brzegi nacięcia do otaczającej skóry, tworząc stały otwór umożliwiający drenaż
  • Usunięcie gruczołu Bartholina – w przypadku nawracających torbieli lub ropni

Najczęściej stosuje się cewnik Worda lub marsupializację. Badania porównujące te metody wykazały podobne wskaźniki nawrotów (12% dla cewnika Worda i 10% dla marsupializacji), jednak pacjentki po marsupializacji częściej wymagały środków przeciwbólowych w pierwszych 24 godzinach po zabiegu i miały dłuższy czas leczenia.2223

Opieka pooperacyjna

Po zabiegu drenażu torbieli Bartholina, istotne jest odpowiednie postępowanie w celu zapewnienia prawidłowego gojenia i zapobiegania powikłaniom.2425

Zalecenia po zabiegu drenażu

Po zabiegu drenażu torbieli pacjentka powinna:2627

  • Wykonywać kąpiele nasiadowe 2-3 razy dziennie przez okres 2 dni po zabiegu
  • Utrzymywać okolicę krocza w czystości, myjąc ją ciepłą wodą z łagodnym mydłem i dokładnie osuszając
  • Nosić higieniczne podpaski do czasu zakończenia drenaży
  • Unikać stosunków płciowych do momentu usunięcia cewnika (około 4 tygodnie) lub do całkowitego zagojenia rany po marsupializacji
  • Przyjmować przepisane środki przeciwbólowe zgodnie z zaleceniami

W przypadku założenia cewnika Worda, pacjentka powinna być poinformowana o konieczności zgłoszenia się do lekarza, jeśli cewnik wypadnie przed planowanym czasem jego usunięcia (4 tygodnie).2829

Monitorowanie procesu gojenia

Pielęgniarka powinna monitorować:3031

  • Proces gojenia rany
  • Czystość krocza
  • Ewentualny drenaż z pochwy
  • Występowanie bólu lub gorączki

Pacjentka powinna zgłosić się do lekarza w przypadku następujących objawów:3233

  • Zwiększenie bólu, obrzęku, ciepłoty lub zaczerwienienia
  • Gorączka powyżej 38°C
  • Nieprzyjemnie pachnąca wydzielina
  • Wypadnięcie cewnika
  • Brak poprawy zgodnie z oczekiwaniami

Szczególne sytuacje kliniczne

Torbiel Bartholina u kobiet ciężarnych

Kobiety w ciąży z ropniem Bartholina powinny być leczone w ten sam sposób co kobiety niebędące w ciąży, z wyjątkiem wycięcia gruczołu Bartholina, ze względu na zwiększone ryzyko krwawienia.3435

Nawracające torbiele Bartholina

W przypadku nawracających torbieli lub ropni, może być konieczne zastosowanie bardziej radykalnych metod leczenia, takich jak marsupializacja lub całkowite usunięcie gruczołu Bartholina.3637

Zapobieganie torbielom Bartholina

Choć nie ma jednoznacznego sposobu zapobiegania torbielom Bartholina, następujące praktyki mogą pomóc zmniejszyć ryzyko ich powstawania i nawracania:3839

  • Utrzymanie dobrej higieny okolic intymnych
  • Unikanie drażniących środków higienicznych
  • Noszenie bawełnianej, przewiewnej bielizny
  • Praktykowanie bezpiecznego seksu, w tym stosowanie prezerwatyw
  • Szybkie leczenie infekcji pochwy lub chorób przenoszonych drogą płciową

Koordynacja opieki i edukacja pacjentki

Kobiety z torbielą gruczołu Bartholina zwykle są najpierw przyjmowane przez lekarza podstawowej opieki zdrowotnej, pielęgniarkę lub internistę. Ze względu na rozległą diagnostykę różnicową, ważne jest zaangażowanie ginekologa w opiekę nad tymi pacjentkami.4041

Pielęgniarka odgrywa kluczową rolę w edukacji pacjentki i jej rodziny na temat stanu zdrowia. Kobiety powinny być instruowane, aby obserwować wszelkie oznaki infekcji, takie jak nieprzyjemnie pachnąca wydzielina z pochwy lub nietypowe krwawienie.42

Pielęgniarka powinna współpracować z lekarzem i farmaceutą podczas opieki nad kobietami z patologią gruczołu Bartholina, aby osiągnąć najlepszy możliwy wynik dla tych kobiet i ich rodzin.4344

Planowanie wypisu

Przed wypisem ze szpitala lub kliniki pacjentkę należy poinstruować w zakresie:4546

  • Wykonywania kąpieli nasiadowych
  • Utrzymania higieny krocza
  • Konieczności powrotu do lekarza, jeśli obrzęk pochwy lub wydzielina utrzymuje się
  • Harmonogramu wizyt kontrolnych

Większość pacjentek czuje się znacznie lepiej w ciągu 24 godzin od drenażu torbieli lub ropnia. Pełna rekonwalescencja zwykle trwa od 1 do 2 tygodni.47

Podsumowanie opieki pielęgniarskiej

Skuteczna opieka pielęgniarska nad pacjentką z torbielą Bartholina obejmuje:484950

  • Edukację pacjentki w zakresie wykonywania kąpieli nasiadowych i utrzymania higieny krocza
  • Podawanie antybiotyków zgodnie z zaleceniami lekarza
  • Kontrolę procesu gojenia po zabiegu chirurgicznym
  • Monitorowanie pod kątem objawów infekcji
  • Zapewnienie wsparcia emocjonalnego i psychologicznego
  • Udzielanie informacji na temat zapobiegania nawrotom

Prawidłowo prowadzona opieka pielęgniarska przyczynia się do szybszego powrotu do zdrowia, zmniejszenia dyskomfortu oraz zapobiegania powikłaniom i nawrotom torbieli Bartholina.51

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Bartholin’s Cyst and Abscess: Causes and Care
    https://maygrant.com/blog/understanding-bartholins-cyst-and-abscess/
    Bartholin’s cysts and abscesses are common yet often misunderstood gynecological conditions that can cause discomfort and disrupt daily life. The Bartholin’s glands, located on either side of the vaginal opening, are responsible for secreting fluid to lubricate the vaginal area. When the duct of one of these glands becomes blocked, it can lead to the formation of a cyst. If the cyst becomes infected, it can develop into an abscess, causing significant pain and swelling. […] At May-Grant OB/GYN, with locations in Lancaster, PA, and beyond, women receive compassionate and personalized care for Bartholin’s cysts and abscesses. Understanding these conditions can help women recognize the symptoms and seek timely treatment to prevent complications. […] Diagnosing a Bartholin’s cyst or abscess is typically straightforward and involves a physical examination. Providers at May-Grant OB/GYN may ask about the onset and severity of symptoms to determine whether the cyst is infected. In some cases, additional tests may be performed to rule out other conditions or to identify the bacteria causing the infection.
  • #2 Bartholin Gland Cyst: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bartholin-gland-cyst-care-instructions.uf7104
    The Bartholin glands are two small organs that are located on each side of the vaginal opening. […] If a cyst is infected, large, or painful, it may need to be drained. […] You may have had a small tube (catheter) placed into the cyst or minor surgery to let the cyst drain. The tube will usually be left in for about 4 weeks. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Sit in a few inches of warm water (sitz bath) for 15 to 20 minutes 3 times a day. Then pat the area dry. The warm water helps the area heal and eases discomfort.
  • #3 Bartholin’s cyst
    https://www.nhs.uk/conditions/bartholins-cyst/treatment/
    A Bartholins cyst is a lump near the opening of the vagina. They do not always need treatment, but always get any lumps checked by a GP. […] If you’ve been diagnosed with a Bartholin’s cyst it will often go away by itself without treatment. But there are things you can do to help relieve discomfort or pain. […] sit in a bath with warm water a few times a day, for 3 to 4 days […] dip a cloth or cotton wool in warm water and hold it gently on the cyst […] take ibuprofen or paracetamol to help with pain. […] do not try to squeeze or drain the fluid from a Bartholins cyst yourself, as this can cause infection. […] If you have an infected Bartholin’s cyst, youll be offered antibiotics. […] If antibiotics do not work, or the cyst keeps coming back, you may need a surgical procedure to drain it.
  • #4 Bartholin cyst or abscess: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001489.htm
    Bartholin abscess is the buildup of pus that forms a lump (swelling) in one of the Bartholin glands. These glands are found on each side of the vaginal opening. […] A Bartholin abscess forms when a small opening (duct) from the gland gets blocked. Fluid in the gland builds up and may become infected. Fluid may build up over many years before an abscess occurs. […] Symptoms may include: A tender lump on either side of the vaginal opening, Swelling and redness, Pain with sitting or walking, Fever, in people with low immunity, Pain with sexual intercourse, Vaginal discharge, Vaginal pressure. […] The health care provider will do a pelvic exam. The Bartholin gland will be enlarged and tender. In rare cases, a biopsy may be suggested in older women to look for a tumor. […] Soaking in warm water 4 times a day for several days can ease the discomfort. It can also help the abscess open and drain on its own. However, the opening is often very small and closes quickly. Therefore, the abscess often returns.
  • #5 Bartholin’s cyst
    https://www.nhs.uk/conditions/bartholins-cyst/treatment/
    A Bartholins cyst is a lump near the opening of the vagina. They do not always need treatment, but always get any lumps checked by a GP. […] If you’ve been diagnosed with a Bartholin’s cyst it will often go away by itself without treatment. But there are things you can do to help relieve discomfort or pain. […] sit in a bath with warm water a few times a day, for 3 to 4 days […] dip a cloth or cotton wool in warm water and hold it gently on the cyst […] take ibuprofen or paracetamol to help with pain. […] do not try to squeeze or drain the fluid from a Bartholins cyst yourself, as this can cause infection. […] If you have an infected Bartholin’s cyst, youll be offered antibiotics. […] If antibiotics do not work, or the cyst keeps coming back, you may need a surgical procedure to drain it.
  • #6 Bartholin cyst or abscess: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001489.htm
    Bartholin abscess is the buildup of pus that forms a lump (swelling) in one of the Bartholin glands. These glands are found on each side of the vaginal opening. […] A Bartholin abscess forms when a small opening (duct) from the gland gets blocked. Fluid in the gland builds up and may become infected. Fluid may build up over many years before an abscess occurs. […] Symptoms may include: A tender lump on either side of the vaginal opening, Swelling and redness, Pain with sitting or walking, Fever, in people with low immunity, Pain with sexual intercourse, Vaginal discharge, Vaginal pressure. […] The health care provider will do a pelvic exam. The Bartholin gland will be enlarged and tender. In rare cases, a biopsy may be suggested in older women to look for a tumor. […] Soaking in warm water 4 times a day for several days can ease the discomfort. It can also help the abscess open and drain on its own. However, the opening is often very small and closes quickly. Therefore, the abscess often returns.
  • #7 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #8 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-18147/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] – In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #9 Bartholin’s cyst – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bartholin-cyst/diagnosis-treatment/drc-20369981
    Often a Bartholin’s cyst requires no treatment especially if the cyst causes no signs or symptoms. When needed, treatment depends on the size of the cyst, your discomfort level and whether it’s infected, which can result in an abscess. […] Daily soaking in warm water, several times a day, may be adequate to resolve an infected Bartholin’s cyst or abscess. […] After a surgical procedure to treat an infected cyst or abscess, soaking in warm water is particularly important. Sitz baths help to keep the area clean, ease discomfort and promote effective drainage of the cyst. Pain relievers also may be helpful.
  • #10 Bartholin’s cyst
    https://www.nhs.uk/conditions/bartholins-cyst/treatment/
    A Bartholins cyst is a lump near the opening of the vagina. They do not always need treatment, but always get any lumps checked by a GP. […] If you’ve been diagnosed with a Bartholin’s cyst it will often go away by itself without treatment. But there are things you can do to help relieve discomfort or pain. […] sit in a bath with warm water a few times a day, for 3 to 4 days […] dip a cloth or cotton wool in warm water and hold it gently on the cyst […] take ibuprofen or paracetamol to help with pain. […] do not try to squeeze or drain the fluid from a Bartholins cyst yourself, as this can cause infection. […] If you have an infected Bartholin’s cyst, youll be offered antibiotics. […] If antibiotics do not work, or the cyst keeps coming back, you may need a surgical procedure to drain it.
  • #11 Bartholin’s cyst
    https://www.nhs.uk/conditions/bartholins-cyst/treatment/
    A Bartholins cyst is a lump near the opening of the vagina. They do not always need treatment, but always get any lumps checked by a GP. […] If you’ve been diagnosed with a Bartholin’s cyst it will often go away by itself without treatment. But there are things you can do to help relieve discomfort or pain. […] sit in a bath with warm water a few times a day, for 3 to 4 days […] dip a cloth or cotton wool in warm water and hold it gently on the cyst […] take ibuprofen or paracetamol to help with pain. […] do not try to squeeze or drain the fluid from a Bartholins cyst yourself, as this can cause infection. […] If you have an infected Bartholin’s cyst, youll be offered antibiotics. […] If antibiotics do not work, or the cyst keeps coming back, you may need a surgical procedure to drain it.
  • #12 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding. […] Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Risk Management […] – Fever […] – The lesion has not healed or gotten bigger […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients.
  • #13 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-18147/
    Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients. […] – Antibiotic therapy should be considered for those who have failed initial ID with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence. […] – Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding.
  • #14 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding. […] Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Risk Management […] – Fever […] – The lesion has not healed or gotten bigger […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients.
  • #15 Bartholin Gland Cyst: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bartholin-gland-cyst-care-instructions.uf7104
    Ask your doctor when it is okay for you to have sex. […] Call your doctor now or seek immediate medical care if: You have symptoms of a new or worse infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor if: The catheter falls out. […] You are not getting better as expected.
  • #16 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    – Antibiotic therapy should be considered for those who have failed initial ID with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence. […] – Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding.
  • #17 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care
    https://emedicine.medscape.com/article/777112-treatment
    Women with a Bartholin gland cyst usually are first seen by the primary care provider, nurse practitioner, or internist. […] Antibiotic therapy should be considered for (1) those who have failed initial incision and drainage with Word catheter placement’ (2) patients with systemic symptoms including fever; (3) patients who have suspected sepsis; and (4) those considered at high risk for recurrence. […] Patients who present to the ED with Bartholin gland swelling rarely require emergent gynecologic consultation. […] ED care should include a careful history and physical examination. […] A patient whose presentation is concerning for malignancy should receive close outpatient gynecologic follow-up for biopsy and possible excision. […] Those with an uncomplicated, asymptomatic cyst may be discharged with sitz bath instructions.
  • #18
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7104
    The Bartholin glands are two small organs that are located on each side of the vaginal opening. […] If a cyst is infected, large, or painful, it may need to be drained. […] You may have had a small tube (catheter) placed into the cyst or minor surgery to let the cyst drain. The tube will usually be left in for about 4 weeks. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Sit in 8 to 10 centimetres (3 to 4 inches) of warm water (sitz bath) for 15 to 20 minutes 3 times a day. Then pat the area dry. The warm water helps the area heal and eases discomfort.
  • #19 Bartholin Gland Cyst: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bartholin-gland-cyst-care-instructions.uf7104
    The Bartholin glands are two small organs that are located on each side of the vaginal opening. […] If a cyst is infected, large, or painful, it may need to be drained. […] You may have had a small tube (catheter) placed into the cyst or minor surgery to let the cyst drain. The tube will usually be left in for about 4 weeks. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Sit in a few inches of warm water (sitz bath) for 15 to 20 minutes 3 times a day. Then pat the area dry. The warm water helps the area heal and eases discomfort.
  • #20 Bartholin’s cyst
    https://www.nhs.uk/conditions/bartholins-cyst/treatment/
    Draining a Bartholin’s cyst may be done under local anaesthetic where you’ll be awake during the procedure, or with a general anaesthetic where you’ll be asleep. […] The procedure involves making a cut in the cyst. The doctor may leave a small opening so fluid can drain out, or insert a small, thin tube (catheter) into the cyst. Youll usually have the catheter in for around 4 weeks before it is removed.
  • #21 Bartholin’s cyst
    https://www.nhs.uk/conditions/bartholins-cyst/
    A Bartholins cyst is a lump near the opening of the vagina. They do not always need treatment, but always get any lumps checked by a GP. […] If you’ve been diagnosed with a Bartholin’s cyst it will often go away by itself without treatment. But there are things you can do to help relieve discomfort or pain. […] If you have an infected Bartholin’s cyst, you’ll be offered antibiotics. […] If antibiotics do not work, or the cyst keeps coming back, you may need a surgical procedure to drain it. […] Draining a Bartholin’s cyst may be done under local anaesthetic where you’ll be awake during the procedure, or with a general anaesthetic where you’ll be asleep. […] The procedure involves making a cut in the cyst. The doctor may leave a small opening so fluid can drain out, or insert a small, thin tube (catheter) into the cyst. You’ll usually have the catheter in for around 4 weeks before it is removed.
  • #22 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #23 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Recurrence occurred in 10 women (12%) in the Word catheter group and 8 women (10%) in the marsupialization group. Within the first 24 hours after treatment, 33% used analgesics in the Word catheter group versus 74% in the marsupialization group. Time from diagnosis to treatment was 1 hour for placement of Word catheter versus 4 hours for marsupialization. […] Recurrence rates were found to be comparable within the two groups; however, the marsupialization group had increased use of analgesics within the first 24 hours and increased duration of treatment. […] Due to the need for specialist referral (gynecology), as well as the increased duration of treatment for marsupialization, ID with Word catheter placement is the recommended treatment for first-time Bartholin abscess. (Level II) […] Antibiotic therapy should be considered for those who have failed initial ID with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence.
  • #24
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zy1271
    Bartholin cysts are fluid-filled sacs in your Bartholin gland. They can become infected and form an abscess, or sac of pus. Your doctor drained the fluid out of the cyst. […] After surgery, you may have pain and discomfort in your vulva for several days. It may be uncomfortable to sit for long periods of time. You may also have pain if your urine comes into contact with your wound. […] You can expect to feel better and stronger each day. But you may get tired quickly and need pain medicine for a week or two. You may need about 2 to 4 weeks to fully recover. […] Follow your doctor’s instructions about removing any gauze from your wound. […] Wash the area daily with warm, soapy water, and pat it dry. […] Keep the area clean and dry. You may cover it with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
  • #25
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zy1271
    Sit in 8 to 10 centimetres (3 to 4 inches) of warm water (sitz bath) for 15 to 20 minutes 3 times a day. Then pat the area dry. The warm water helps the area heal and eases discomfort. […] If you have had a catheter placed in the cyst to help it drain, follow your doctor’s instructions for activities until the tube comes out. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.
  • #26
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7104
    The Bartholin glands are two small organs that are located on each side of the vaginal opening. […] If a cyst is infected, large, or painful, it may need to be drained. […] You may have had a small tube (catheter) placed into the cyst or minor surgery to let the cyst drain. The tube will usually be left in for about 4 weeks. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Sit in 8 to 10 centimetres (3 to 4 inches) of warm water (sitz bath) for 15 to 20 minutes 3 times a day. Then pat the area dry. The warm water helps the area heal and eases discomfort.
  • #27
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zy1271
    Bartholin cysts are fluid-filled sacs in your Bartholin gland. They can become infected and form an abscess, or sac of pus. Your doctor drained the fluid out of the cyst. […] After surgery, you may have pain and discomfort in your vulva for several days. It may be uncomfortable to sit for long periods of time. You may also have pain if your urine comes into contact with your wound. […] You can expect to feel better and stronger each day. But you may get tired quickly and need pain medicine for a week or two. You may need about 2 to 4 weeks to fully recover. […] Follow your doctor’s instructions about removing any gauze from your wound. […] Wash the area daily with warm, soapy water, and pat it dry. […] Keep the area clean and dry. You may cover it with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
  • #28 Bartholin Gland Cyst: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bartholin-gland-cyst-care-instructions.uf7104
    Ask your doctor when it is okay for you to have sex. […] Call your doctor now or seek immediate medical care if: You have symptoms of a new or worse infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor if: The catheter falls out. […] You are not getting better as expected.
  • #29
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7104
    Ask your doctor when it is okay for you to have sex. […] If you had a catheter placed in the cyst to help it drain, follow your doctor’s instructions for activities until the tube comes out. […] Call your doctor or nurse advice line now or seek immediate medical care if you have symptoms of a new or worse infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if the catheter falls out.
  • #30 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #31 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-18147/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] – In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #32 Bartholin Gland Cyst: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bartholin-gland-cyst-care-instructions.uf7104
    Ask your doctor when it is okay for you to have sex. […] Call your doctor now or seek immediate medical care if: You have symptoms of a new or worse infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor if: The catheter falls out. […] You are not getting better as expected.
  • #33
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7104
    Ask your doctor when it is okay for you to have sex. […] If you had a catheter placed in the cyst to help it drain, follow your doctor’s instructions for activities until the tube comes out. […] Call your doctor or nurse advice line now or seek immediate medical care if you have symptoms of a new or worse infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if the catheter falls out.
  • #34 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding. […] Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Risk Management […] – Fever […] – The lesion has not healed or gotten bigger […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients.
  • #35 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    – Antibiotic therapy should be considered for those who have failed initial ID with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence. […] – Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding.
  • #36 Bartholin cyst or abscess Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/bartholin-cyst-or-abscess
    You should begin soaking in warm water 1 to 2 days afterward. You cannot have sexual intercourse for 4 weeks after surgery. […] Your provider may recommend that the glands be completely removed if abscesses keep coming back. […] The chance of a full recovery is excellent. The abscesses may return in a few cases. […] It is important to treat any vaginal infection that is diagnosed at the same time as the abscess. […] Contact your provider if: You notice a painful, swollen lump on the labia near the vagina opening and it does not improve with 2 to 3 days of home treatment. Pain is severe and interferes with your normal activity. You have one of these cysts and develop a fever higher than 100.4°F (38°C).
  • #37 Bartholin cyst or abscess: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001489.htm
    A small surgical cut can completely drain the abscess. This relieves symptoms and provides the fastest recovery. […] Women can also be treated with a minor surgery called marsupialization. […] Your provider may recommend that the glands be completely removed if abscesses keep coming back. […] The chance of a full recovery is excellent. The abscesses may return in a few cases. […] Contact your provider if: You notice a painful, swollen lump on the labia near the vagina opening and it does not improve with 2 to 3 days of home treatment. Pain is severe and interferes with your normal activity. You have one of these cysts and develop a fever higher than 100.4°F (38°C).
  • #38 How to Treat Bartholin’s Cyst and When to Seek Care | Banner
    https://www.bannerhealth.com/healthcareblog/better-me/bartholins-cyst-home-remedies-or-medical-treatment
    The goal of treatment is to open up the cyst so that the gland can begin draining again, Dr. Onibokun said. […] Drainage removes fluid from the cyst to relieve pressure and pain. It can treat symptoms quickly. […] Your provider may completely remove the cyst and, in some cases, the gland. Surgery might be an option for cysts that are recurring or not responding well to other treatments or if they might cause complications. […] Keep the area clean and dry to prevent infection. Your doctor may provide specific instructions, such as using antiseptic wipes or taking sitz baths to promote healing. […] Most Bartholin’s cysts and abscesses do not need antibiotics for treatment. As long as it is draining, all the cyst fluid and pus will flush itself out, Dr. Onibokun said. […] Be sure to go to all of your follow-up appointments so your provider can check your recovery, make sure the cyst is healing and address any concerns you have. […] To reduce the risk of developing future Bartholin’s cysts, keep the affected area clean and avoid using harsh or scented products in the vaginal area. Staying hydrated and practicing safe sexual habits can also help.
  • #39 Bartholin’s cyst | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20369960/
    Theres no way to prevent a Bartholins cyst. However, safer sex practices in particular, using condoms and good hygiene habits may help to prevent infection of a cyst and the formation of an abscess. […] Often a Bartholins cyst requires no treatment especially if the cyst causes no signs or symptoms. When needed, treatment depends on the size of the cyst, your discomfort level and whether its infected, which can result in an abscess. […] Treatment options your doctor may recommend include: Sitz baths. Soaking in a tub filled with a few inches of warm water (sitz bath) several times a day for three or four days may help a small, infected cyst to rupture and drain on its own. […] After a surgical procedure to treat an infected cyst or abscess, soaking in warm water is particularly important. Sitz baths help to keep the area clean, ease discomfort and promote effective drainage of the cyst. Pain relievers also may be helpful.
  • #40 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding. […] Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Risk Management […] – Fever […] – The lesion has not healed or gotten bigger […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients.
  • #41 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care
    https://emedicine.medscape.com/article/777112-treatment
    Women with a Bartholin gland cyst usually are first seen by the primary care provider, nurse practitioner, or internist. […] Antibiotic therapy should be considered for (1) those who have failed initial incision and drainage with Word catheter placement’ (2) patients with systemic symptoms including fever; (3) patients who have suspected sepsis; and (4) those considered at high risk for recurrence. […] Patients who present to the ED with Bartholin gland swelling rarely require emergent gynecologic consultation. […] ED care should include a careful history and physical examination. […] A patient whose presentation is concerning for malignancy should receive close outpatient gynecologic follow-up for biopsy and possible excision. […] Those with an uncomplicated, asymptomatic cyst may be discharged with sitz bath instructions.
  • #42 Bartholin Gland Cyst | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/18147
    A Bartholin gland cyst is a benign blockage of the Bartholin gland that is usually unilateral, asymptomatic, and maybe incidentally found during a pelvic exam or imaging studies. […] Asymptomatic Bartholin cysts do not require further treatment. Bartholin cysts or abscesses that are spontaneously draining may be managed conservatively with sitz baths and analgesics. […] The clinician, the nurse, and the pharmacist play a pivotal role in educating patients and their families about their condition. Women should be instructed to observe for any signs of infection, such as foul-smell vaginal discharge or any abnormal bleeding. […] The nurse, the clinician, and the pharmacist must collaborate efficiently during the care of women with Bartholin gland pathology, in order to achieve the best possible outcome for these women and their families.
  • #43 Bartholin Gland Cyst | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/18147
    A Bartholin gland cyst is a benign blockage of the Bartholin gland that is usually unilateral, asymptomatic, and maybe incidentally found during a pelvic exam or imaging studies. […] Asymptomatic Bartholin cysts do not require further treatment. Bartholin cysts or abscesses that are spontaneously draining may be managed conservatively with sitz baths and analgesics. […] The clinician, the nurse, and the pharmacist play a pivotal role in educating patients and their families about their condition. Women should be instructed to observe for any signs of infection, such as foul-smell vaginal discharge or any abnormal bleeding. […] The nurse, the clinician, and the pharmacist must collaborate efficiently during the care of women with Bartholin gland pathology, in order to achieve the best possible outcome for these women and their families.
  • #44 Bartholin Gland Cyst | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/18147
    While the actual drainage or marsupialization is done by the gynecologist, the patient follow up and teaching are done by the nurse practitioner. The nurse practitioner should educate the patient on how to perform sitz baths and maintaining perineal hygiene. If antibiotics are prescribed. All patients need a follow up to ensure healing has occurred.
  • #45 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding. […] Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Risk Management […] – Fever […] – The lesion has not healed or gotten bigger […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients.
  • #46 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-18147/
    Health Teaching and Health Promotion […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] Discharge Planning […] – Teach how to perform sitz baths […] – Educate on perineal hygiene maintenance […] – Return if vaginal swelling or discharge persists […] Pearls and Other issues […] – Women with a Bartholin gland cyst are usually first seen by the primary care provider, nurse practitioner or internist. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients. […] – Antibiotic therapy should be considered for those who have failed initial ID with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence. […] – Women who are pregnant and have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to the increased risk of bleeding.
  • #47 Bartholin’s Cysts, Treatment, Drainage, Causes, Symptoms & Types
    https://www.emedicinehealth.com/bartholin_cyst/article_em.htm
    The majority of women feel much better within 24 hours of drainage. […] Treatment of a Bartholin’s cyst usually includes sitz baths to promote drainage, and sometimes includes surgical drainage depending on the severity of the symptoms. Doctors sometimes prescribe antibiotics. […] Home treatment of Bartholin’s cysts and abscesses involves sitz baths, which promote drainage. […] For Bartholin’s abscesses and cysts that are symptomatic (large or painful), the treatment is drainage. […] Women who have had a Bartholin’s cyst or abscess drained should follow up in 24-48 hours for a recheck and possible removal of packing material. […] If a Bartholin’s cyst develops, prompt treatment with sitz baths may prevent the development of an abscess.
  • #48 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568675/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #49 Bartholin Gland Cyst (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/nurse-article-18147/
    Bartholin Gland Cyst (Nursing) […] Nursing Management […] – Teach sitz baths […] – Educate on perineal hygiene […] – Administer antibiotics as prescribed […] – Check for healing if surgery is done […] When To Seek Help […] – Fever […] – Pelvic pain […] – Vaginal discharge […] Outcome Identification […] – No vaginal swelling […] – No urinary symptoms or pelvic pain […] Monitoring […] – Check if healing is occurring […] – Ensure perineum is clean […] – Monitor for vaginal drainage […] – Assess for pain and fever […] Coordination of Care […] – In the WoMan-trial, a randomized controlled trial in the Netherlands and England between August 2010 and May 2014, 161 women were randomly allocated to treatment by Word catheter or marsupialization to compare recurrence of a cyst or abscess within 1 year.
  • #50 BARTHOLINITIS Bartholinitis – Coggle Diagram
    https://coggle.it/diagram/X6LDisxkJLcDs_uN/t/bartholinitis-bartholinitis
    Nursing Care Plan […] Specific outcome […] Verbalizing understanding of change and acceptance […] Intervention […] Encourage the patient to share emotions […] Explain expected physical change […] Assist the patient to grieve […] Refer to sex counsellor […] Nursing diagnosis […] Sexual dysfunction […] Nursing Care Plan […] Specific outcome […] Alleviate pain […] Intervention […] Assisting patients to meet the personal hygiene […] Monitor the state of the wound […] Provide health education regarding self-care (hygiene tool genital) […] Assess the level of pain […] Use an interactive way that focuses on the need to make adjustments in sexual practices or to improve coping with problems / sexual disorders […] Nursing diagnosis […] Pain related to the wound
  • #51 Bartholin Gland Cyst | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/18147
    While the actual drainage or marsupialization is done by the gynecologist, the patient follow up and teaching are done by the nurse practitioner. The nurse practitioner should educate the patient on how to perform sitz baths and maintaining perineal hygiene. If antibiotics are prescribed. All patients need a follow up to ensure healing has occurred.