Materiały źródłowe

• #1 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. […] 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. […] Surgical drainage. You may need surgery to drain a cyst that’s infected or very large. Drainage of a cyst can be done using local anesthesia or sedation. For the procedure, your doctor makes a small incision in the cyst, allows it to drain, and then places a small rubber tube (catheter) in the incision. The catheter stays in place for up to six weeks to keep the incision open and allow complete drainage.

• #1 Bartholin’s cyst | Healthify

  https://healthify.nz/health-a-z/b/bartholins-cyst

  Treatment depends on the size of the cyst, how painful it is and whether it is infected or not. […] Depending on the size of the cyst or abscess, and the severity of your symptoms, treatment options range from self-care and medication to drainage or surgical removal of the cyst. […] If the cyst is painful, your healthcare provider may recommend some simple self-care measures such as: soaking the cyst in warm water several times a day for 3 or 4 days using a sitz bath or using warm compresses on the area, taking over-the-counter painkillers, eg, paracetamol or ibuprofen, taking the full course of antibiotics if they’ve been prescribed for you. […] If the cyst is infected (developed into an abscess), and you’re becoming more unwell, your healthcare provider may prescribe antibiotics. If the cyst or abscess is bothering you or keeps coming back, you may need to have one of the following procedures.

• #1 Bartholin Cyst Home Treatment

  https://www.healthline.com/health/bartholin-cyst-home-treatment

  Frequent warm water soaks and OTC pain relievers may help you care for a Bartholin cyst at home. […] Soaking in a few inches of warm water either in a tub or sitz bath four times a day for a few days may resolve even an infected Bartholin cyst. […] Taking over-the-counter painkillers, such as naproxen (Aleve, Naprosyn), acetaminophen (Tylenol), or ibuprofen (Advil, Motrin), may help with discomfort. […] Your doctor may suggest you start with home treatment. If your cyst is infected, however, they may recommend: a small incision followed by up to six weeks of drainage, possibly with a catheter, antibiotics to fight bacteria, surgical removal of the gland, in rare cases. […] A Bartholin cyst can often be effectively treated at home. If it doesn’t respond to home treatment or appears to have an infection, you should see your doctor. In most cases treatment is simple and effective.

• #1 Bartholin’s cyst – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bartholin-cyst/diagnosis-treatment/drc-20369981

  Antibiotics. Your doctor may prescribe an antibiotic if your cyst is infected or if testing reveals that you have a sexually transmitted infection. But if the abscess is drained properly, you may not need antibiotics. […] Marsupialization. If cysts recur or bother you, a marsupialization (mahr-soo-pee-ul-ih-ZAY-shun) procedure may help. Your doctor places stitches on each side of a drainage incision to create a permanent opening less than 1/4-inch (about 6-millimeter) long. An inserted catheter may be placed to promote drainage for a few days after the procedure and to help prevent recurrence. […] Rarely, for persistent cysts that aren’t effectively treated by the above procedures, your doctor may recommend surgery to remove the Bartholin’s gland. Surgical removal is usually done in a hospital under general anesthesia. Surgical removal of the gland carries a greater risk of bleeding or complications after the procedure.

• #1 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532271/

  Incision and Drainage with Word catheter placement may be attempted a second time for recurrent Bartholin abscess with the addition of antibiotics. […] Antibiotic therapy should be considered for those who have failed initial ID (incision and drainage) with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence. […] Marsupialization is performed by a gynecologist in the operating room, and for this reason, incision and drainage with Word catheter placement are usually attempted first. […] Other less common procedures include silver nitrate ablation, carbon dioxide laser vaporization, Jacobi ring placement, and Bartholin gland excision as a last resort when other modalities have failed.

• #1 Bartholin gland masses – UpToDate

  https://www.uptodate.com/contents/bartholin-gland-masses

  Role of antibiotics […] There are no randomized trials that address the role of antibiotics in the management of Bartholin’s cysts or abscesses. […] In our practice, we limit antibiotic treatment to patients with: Recurrent Bartholin abscess (≥2nd occurrence). […] Known or suspected gonorrhea or chlamydia infection should be treated with appropriate antibiotics. […] Management of recurrent masses […] Recurrence may occur immediately after, or remote from, treatment and presents with the same signs and symptoms as an initial occurrence. […] For a cyst that recurs: If it is not infected, we offer expectant management or I&D with or without Word catheter placement. […] If there is a recurrence after marsupialization, we offer the patient gland excision. […] Comparison of methods

• #1 Management of Bartholin’s cyst and abscess, Gynaecology (066) | Right Decisions

  https://rightdecisions.scot.nhs.uk/ggc-clinical-guidelines/gynaecology/gynaecology-guidelines/management-of-bartholin-s-cyst-and-abscess-gynaecology-066/

  Where antibiotic treatment is required, suggested regimes are Co-amoxiclav 625mg orally 8 hourly, total duration for 5 days […] Co-trimoxazole (Septrin) 960mg orally 12 hourly, total duration for 5 days (avoid 1st trimester pregnancy) […] This treatment should be used first line in the surgical management of Bartholins cysts or abscesses. This is a very well tolerated procedure and has good operative success. […] The patient can go home with the catheter in situ and usually this stays in for 4 weeks to encourage formation of an epithelialised fistula and prevent refilling of the abscess. […] Where there are no signs of infection, antibiotic cover is not required. […] Consideration should be made to cover with broad spectrum antibiotics if signs suggestive of an infection are present e.g. purulent offensive smelling discharge or signs of cellulitis.

• #1 Treatment of a Bartholin gland abscess: A step-by-step approach

  https://www.npwomenshealthcare.com/treatment-bartholin-gland-abscess-step-step-approach-using-simulation/

  Treatment of a Bartholin gland abscess: A step-by-step approach using simulation […] This article provides novice nurse practitioners (NPs) or NP students, as well as NP students instructors and preceptors, with detailed information needed to safely perform an incision and drainage of a Bartholin gland abscess or large symptomatic Bartholin gland cyst with placement of a Word catheter or wound packing. […] In many cases, performing only a simple ID procedure of the Bartholin gland abscess or cyst is not therapeutic and can lead to a recurrence. Instead, ID with placement of a Word catheter to allow drainage and prevent re-accumulation of fluid is highly recommended as first-line treatment. […] Routine culture of the Bartholin gland abscess drainage is not recommended because the results are rarely useful.

• #1 Management of Bartholin’s Duct Cyst and Gland Abscess | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/0701/p135.html

  The treatment of a Bartholin’s duct cyst depends on the patient’s symptoms. An asymptomatic cyst may require no treatment, but symptomatic Bartholin’s duct cysts and gland abscesses require drainage. Unless spontaneous rupture occurs, an abscess rarely resolves on its own. […] Although incision and drainage is a relatively quick and easy procedure that provides almost immediate relief to the patient, this approach should be discouraged because there is a tendency for the cyst or abscess to recur. […] Definitive drainage involves Word catheter placement for Bartholin’s duct cysts and gland abscesses, and marsupialization for duct cysts. […] A Word catheter is commonly used to treat Bartholin’s duct cysts and gland abscesses. […] After the incision is made, the Word catheter is inserted, and the balloon tip is inflated with 2 to 3 mL of saline solution injected through the hub of the catheter.

• #1 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532271/

  A Bartholin gland cyst is usually a unilateral, asymptomatic blockage of the Bartholin gland that may be incidentally discovered during a pelvic exam or imaging studies. […] Identify the treatment of symptomatic Bartholin gland cysts by incision and drainage with Word catheter placement. […] 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. […] first-time Bartholin abscesses may be treated with incision and drainage with Word catheter placement due to ease and effectiveness of treatment. […] Incision and drainage with Word catheter are performed by first cleaning the region with povidone-iodine and anesthetizing the location where the incision will be made with 3 mL of 1% lidocaine.

• #1 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care

  https://emedicine.medscape.com/article/777112-treatment

  A Bartholin abscess is generally painful and therefore usually requires incision and drainage. Several techniques have been described, but no large prospective studies have been performed to determine relative efficacy and complications. The goal of abscess treatment is to allow drainage and to prevent rapid reaccumulation of fluid. […] The Word catheter was introduced in the 1960s. It is a small catheter with a saline inflatable balloon at the distal end. This procedure should be performed using sterile technique. In one study, Word catheter treatment was successful in 26 of 30 cases (87%) of Bartholin cyst or abscess. […] This procedure is reserved for recurrent abscesses. The acute abscess is drained prior to marsupialization. This procedure consists of a wide incision of the mass followed by suturing the inner edge of the incision to external mucosa. This complicated procedure is usually performed by a gynecologist or urologist in the OR.

• #1 Module | ACOG

  https://www.acog.org/education-and-events/simulations/scog025/module

  Bartholin gland cyst: […] Symptomatic — Word catheter or marsupialization. […] Bartholin gland abscess: […] Drainage via Word catheter or marsupialization is preferred. […] Marsupialization preferred for: […] Recurrent cysts that failed other methods […] Larger cyst/abscess. […] Consent for Marsupialization […] Benefits: […] Resolution of discomfort and/or infection. […] Steps for Marsupialization […] Wound closure: suture cyst wall edges to adjacent skin edges using interrupted sutures with 2.0 or 3.0 delayed-absorbable suture. […] Follow Up Care […] Abscess drainage: 7-day course of antibiotics if concomitant cellulitis (TMP-SMX, doxycycline, or cephalexin).

• #1 Bartholin’s Cyst | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/33725/

  If the cyst becomes large or painful, a number of treatments are available to drain and remove the cyst. Most treatments involve a minor surgical procedure under local anaesthetic (painkilling medication) or in some cases General Anaesthetic, which takes around 20 minutes to complete. […] Making an incision (cut) in the cyst and draining the fluid out is not always recommended because the cyst will often return; however, there are a number of surgical options for treating large, painful cysts and abscesses, these include: […] Incision and drainage of a Bartholins cyst usually takes 5 to 10 minutes to perform. A local anaesthetic is given and then a small incision (cut) is made into the cyst or abscess to allow the fluid or pus to drain out. […] If a cyst or abscess keeps coming back, a surgical procedure known as marsupialisation may be used. Marsupialisation takes about 10 to 15 minutes and is usually performed as a day case procedure, so you will not have to stay in hospital overnight.

• #1 Management of Bartholin’s Duct Cyst and Gland Abscess | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/0701/p135.html

  An alternative to Word catheter placement is marsupialization of a Bartholin’s cyst. […] Approximately 5 to 15 percent of Bartholin’s duct cysts recur after marsupialization. […] Although Bartholin’s gland abscesses may rupture and drain spontaneously, recurrence is likely, and surgical excision may be necessary. Excision is not an office-based procedure. […] Some investigators recommend excision of the Bartholin’s gland to exclude adenocarcinoma when cysts or abscesses occur in patients more than 40 years of age.

• #1 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532271/

  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. […] The treatment of Bartholin’s gland cysts by traditional surgery is characterized by some disadvantages and complications such as hemorrhage, postoperative dyspareunia, infections, the necessity for general anesthesia. Contrarily, CO2 laser surgery might be less invasive and more effective as it solves many problems of traditional surgery.

• #1 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care

  https://emedicine.medscape.com/article/777112-treatment

  This procedure requires excision of the Bartholin gland and surrounding tissue. It is disfiguring, painful, and seldom indicated in the treatment of abscess, although it may be used to treat malignancy. […] Carbon dioxide laser therapy can provide cyst vaporization in the outpatient setting. A prospective, randomized trial found that silver nitrate ablation following cyst drainage was as effective as marsupialization and caused less scar formation. Researchers concluded that procedures such as cyst/abscess fenestration and needle aspiration with or without alcohol sclerotherapy require further clinical research. […] Most patients with Bartholin gland disease are discharged home. Patients with Bartholin cyst or abscess should be advised to take warm sitz baths 3 times per day for several days. Patients with an abscess often feel immediate pain relief after the drainage procedure; however, they may require oral analgesia for several days after the procedure.

• #1 Bartholin’s cyst: Causes, treatment, and symptoms

  https://www.medicalnewstoday.com/articles/185022

  Carbon dioxide laser: This highly focused laser can create an opening that helps drain the cyst. […] Needle aspiration: The surgeon uses a needle to drain the cyst. Sometimes, after draining the cyst, they fill the cavity with a 70%-alcohol solution for a few minutes before drainage. This solution reduces the risk of bacteria entering the wound. […] Gland excision: If a person has many recurring cysts that do not respond well to any therapies, the doctor may recommend removing the Bartholins gland completely. […] It is often safe to leave small, painless cysts alone or use home remedies to address any discomfort. […] However, large cysts or those that have become abscesses may need further medical attention. Several procedures are available for the management of Bartholins cysts, including balloon catheter inflation.

• #1

  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. […] Your doctor may have put a small rubber tube, called a catheter, in the cut (incision). The catheter keeps the area open so fluid can drain out of it. Your doctor will likely remove the catheter in about 4 weeks. […] 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. […] 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.

• #1 Bartholin’s Cyst | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/33725/

  Bartholins Cyst treatment is routinely managed as a day case surgery meaning that it should not involve an overnight stay in hospital. […] After marsupialisation, you will be advised to take things easy for a few days. You should avoid having sexual intercourse until the wound has completely healed, which usually takes about 2 weeks.

• #1 Bartholin Cyst | Pantai Hospitals

  https://www.pantai.com.my/medical-specialties/gynaecology/bartholin-cyst

  Surgery to remove the affected Bartholin gland may be recommended if other treatment options have been ineffective. […] After surgery, you may be instructed to avoid the following to aid wound healing and reduce the risk of infection: Sexual intercourse and usage of tampons for up to 4 weeks. […] Usage of perfumed bath products for up to 4 weeks.

• #1 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK532271/

  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. […] The treatment of Bartholin’s gland cysts by traditional surgery is characterized by some disadvantages and complications such as hemorrhage, postoperative dyspareunia, infections, the necessity for general anesthesia. Contrarily, CO2 laser surgery might be less invasive and more effective as it solves many problems of traditional surgery. […] Sitz baths are recommended for a few days. Early ambulation and consumption of an ample amount of water are highly recommended.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zy1271

  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. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have pain that does not get better after you take pain medicine. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

• #1 Bartholin’s Gland Cyst: Symptoms, Causes, Diagnosis, and Removing a Bartholin Gland Cyst

  https://www.webmd.com/women/bartholins-gland-cyst

  If your exam shows that you have an STI, or if your cyst is infected, your doctor will prescribe an antibiotic. They may also prescribe topical medications to put on your skin. […] If the Bartholins cyst is causing problems — or if its turned into an abscess — youll need to see your doctor. Theyll treat it in one of the following ways: […] Surgical drainage. The doctor will make a tiny cut in the cyst. Theyll place a small rubber tube (called a catheter) into the opening to allow it to drain. It can stay in place for up to 6 weeks. Youll probably feel better right away after the fluid is gone. But you may need to take pain medication for several days afterward. Keep in mind that a Bartholin’s cyst or abscess may come back and need treatment again. Side effects include pain or discomfort, especially during sex. You might also have swelling of the labia (lips around the vagina), infection, bleeding, or scarring.

• #1 Management of Bartholin’s cyst and abscess, Gynaecology (066) | Right Decisions

  https://rightdecisions.scot.nhs.uk/ggc-clinical-guidelines/gynaecology/gynaecology-guidelines/management-of-bartholin-s-cyst-and-abscess-gynaecology-066/

  To provide guidance on the management of those presenting with and Bartholins cyst or abscess […] This will depend on the severity and the duration of the patients symptoms in addition to patient preference. […] Recurrence rates are not consistently reported. However, one RCT (WoMan trial) summarised that Marsupialisation and Word catheter recurrence at 12 months are similar (10-12%). Where incision and drainage or needle aspiration is performed, recurrence is thought to be higher, and therefore should be avoided if possible. The aim should being to create a new mucocutaneous junction between the wall of the cyst and the skin of the labia to allow continued drainage. […] Hot baths several times per day and simple analgesia. In the absence of cellulitis, antibiotics are not indicated.

• #1 Bartholin Duct Cyst and Gland Abscess: Office Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0615/p760.html

  Bartholin duct cysts and gland abscesses can be treated in the office. […] The healing and recurrence rates are similar among fistulization, marsupialization, and silver nitrate and alcohol sclerotherapy. […] Needle aspiration and incision and drainage, the two simplest procedures, are not recommended because of the relatively increased recurrence rate. […] Bartholin duct cysts or gland abscesses can be effectively treated by several office procedures under local anesthesia. […] Jacobi ring and Word catheter placement have acceptable recurrence rates and low complication risks. […] Bartholin duct cysts or gland abscesses treated with incision and drainage alone or with needle aspiration have a high rate of recurrence. […] Fistulization and marsupialization are the two most common procedures for Bartholin duct cysts and gland abscesses.

• #1 Bartholin gland cyst and abscess – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/bartholin-gland-cyst-and-abscess/

  First-line treatment includes sitz baths, which may promote spontaneous rupture or resolution of the cyst after a few days. […] An abscess usually requires incision and must be drained surgically. […] Involves sitz baths to facilitate rupture of the cyst; and/or warm compresses. […] Surgery is indicated for larger cysts 3 cm and/or infected cysts. […] Treatment involves incision and drainage followed by marsupialization or fistulization with a Word catheter. […] Antibiotic therapy is indicated for recurrent abscesses, risk of complicated infection, MRSA infection, signs of systemic infection, or unsuccessful incision and drainage. […] Empiric oral antibiotic therapy covering Staphylococcus species, Streptococcus species, and enteric gram-negative aerobes is recommended and should be adjusted according to blood culture results.

• #1 How to Burst a Bartholin Cyst at Home

  https://resources.healthgrades.com/right-care/womens-health/how-to-naturally-burst-a-bartholins-cyst-at-home

  A Bartholin cyst is a fluid-filled sac that appears at the entrance of the vagina. It’s not safe to burst the cyst yourself, such as by squeezing it. But in many cases, you can take steps to encourage the cyst to naturally burst or drain at home. […] Instead, other home remedies can help you encourage the cyst to shrink or open on its own. […] To help a Bartholin cyst open, try soaking it in warm water 10 to 15 minutes at a time, several times a day for 3 to 4 days in a row. Soaking may also help soothe pain. […] A healthcare professional may recommend medical treatment if you have a Bartholin cyst that causes symptoms like pain, shows signs of infection, such as swelling, pain, fever, or unpleasant smelling discharge, or keeps coming back or hasn’t gone away on its own. […] Healthcare professionals may recommend surgery for some cases of cysts. However, they often try other treatments first, such as: incision and drainage as an outpatient procedure in a doctor’s office, antibiotics for any infections.

• #1 Treatment of a Bartholin gland abscess: A step-by-step approach

  https://www.npwomenshealthcare.com/treatment-bartholin-gland-abscess-step-step-approach-using-simulation/

  Treatment with oral antibiotics is not routinely prescribed and is considered controversial; cultures often contain multiple pathogens that are considered normal vaginal flora. […] The NP also advises the patient that a small amount of vaginal drainage, and possibly bleeding, may occur from the incision site following the procedure. […] Recurrent abscesses require marsupialization, a surgical procedure performed in the operating room. This procedure consists of wide excision of the Bartholin gland cavity. New techniques being investigated for treatment of Bartholin gland abscess include silver nitrate gland ablation, alcohol sclerotherapy, and carbon dioxide laser therapy. […] Nurse practitioners providing care to women should have the knowledge and the skills to safely and accurately perform office gynecology procedures such as the ID of a Bartholin gland abscess with Word catheter placement or iodoform packing.

• #1 Vaginal Cyst: Symptoms, Prevention, and Treatments | Thomson Medical

  https://www.thomsonmedical.com/blog/womens-health/vaginal-cyst

  There is no guaranteed way to prevent Bartholins cyst formation. However, you can still try: Maintain good hygiene practices. Wash the vaginal area with warm water. Wear loose-fitting underwear and clothing. Avoid using vaginal perfumes and powders. Practice safer sexual activity to reduce the risk of infection or inflammation. […] If a Bartholin cyst bursts, it might heal on its own within a few days. However, to prevent the infection from spreading, it is recommended to visit a doctor. The doctor will likely advise soaking the labia in warm water (sitz bath) and may prescribe antibiotics and pain medications.

• #1 Bartholin’s Cyst – Treatment | Women’s Healthcare of Boca Raton

  https://www.toplinemd.com/womens-healthcare-of-boca-raton/bartholins-cyst-treatment/

  A Bartholin’s cyst (bartolinitis) is a small sac of fluid that can develop on the glands located on each side of the vagina, known as the Bartholin’s glands. […] If you are experiencing pain or have any concerns about the affected area, it’s always best to reach out to your doctor for further treatment. […] To prevent Bartholin’s cysts from becoming infected and progressing to an abscess, it’s important to practice safe sex by using forms of protection, such as condoms, that act as a barrier against sexually transmitted infections. Practicing good hygiene can also prevent a cyst from becoming infected and requiring medical attention. […] If the cyst does not go away after multiple days of self-care, it might be necessary to seek professional treatment. A visit with your doctor may include: A full pelvic exam, Testing of the vagina and/or cervix for any sexually transmitted infection, A biopsy of the cyst, if you are over 40 or postmenopausal, to test for cancerous cells.

• #2 Bartholin’s cyst – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bartholin-cyst/symptoms-causes/syc-20369976

  A Bartholin’s cyst or abscess is common. Treatment of a Bartholin’s cyst depends on the size of the cyst, how painful the cyst is and whether the cyst is infected. […] Sometimes home treatment is all you need. In other cases, surgical drainage of the Bartholin’s cyst is necessary. If an infection occurs, antibiotics may be helpful to treat the infected Bartholin’s cyst.

• #2 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532271/

  A Bartholin gland cyst is usually a unilateral, asymptomatic blockage of the Bartholin gland that may be incidentally discovered during a pelvic exam or imaging studies. […] Identify the treatment of symptomatic Bartholin gland cysts by incision and drainage with Word catheter placement. […] 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. […] first-time Bartholin abscesses may be treated with incision and drainage with Word catheter placement due to ease and effectiveness of treatment. […] Incision and drainage with Word catheter are performed by first cleaning the region with povidone-iodine and anesthetizing the location where the incision will be made with 3 mL of 1% lidocaine.

• #2 Bartholin Cyst Home Treatment

  https://www.healthline.com/health/bartholin-cyst-home-treatment

  Frequent warm water soaks and OTC pain relievers may help you care for a Bartholin cyst at home. […] Soaking in a few inches of warm water either in a tub or sitz bath four times a day for a few days may resolve even an infected Bartholin cyst. […] Taking over-the-counter painkillers, such as naproxen (Aleve, Naprosyn), acetaminophen (Tylenol), or ibuprofen (Advil, Motrin), may help with discomfort. […] Your doctor may suggest you start with home treatment. If your cyst is infected, however, they may recommend: a small incision followed by up to six weeks of drainage, possibly with a catheter, antibiotics to fight bacteria, surgical removal of the gland, in rare cases. […] A Bartholin cyst can often be effectively treated at home. If it doesn’t respond to home treatment or appears to have an infection, you should see your doctor. In most cases treatment is simple and effective.

• #2 Bartholin Cyst: Causes and At-Home or Medical Treatment

  https://www.verywellhealth.com/bartholins-cyst-overview-4176350

  A Bartholin’s cyst does not always need treatment, but there are options if it is painful, excessively large, or infected. […] You should never try to pop a Bartholin cyst or force it to open. At home, you can do some gentle things to try to encourage the cyst to drain on its own. […] If a cyst is painful, tender, or causing you discomfort, your provider may recommend taking a sitz bath several times a day for three to four days. […] Over-the-counter (OTC) analgesics like Tylenol (acetaminophen) or nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil (ibuprofen) can be used to relieve discomfort and inflammation from a Bartholin cyst. […] If a Bartholin cyst does not get better after in-home treatment or the cyst gets infected or is very large, your provider might recommend other treatments: Needle aspiration: This procedure can be performed in a healthcare provider’s office. It involves the insertion of a needle into the cyst to suction out the pus. This treatment is not used often because the cyst will often come back.

• #2 Bartholin’s cyst

  https://www.nhs.uk/conditions/bartholins-cyst/

  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.

• #2 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. Because of the extensive differential, it is important to involve the gynecologist in the care of these patients. 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. Women who are pregnant who have Bartholin abscesses should be treated in the same manner as nonpregnant women, with the exception of Bartholin gland excision due to increased risk of bleeding. […] Numerous options are available for the treatment of symptomatic Bartholin cysts or abscesses. The most common interventions include incision, drainage with Word catheter placement, and abscess marsupialization. Randomized trial evidence does not support the use of any single surgical method. Outcomes of other interventions such as rubber ring catheter insertion, cavity closure, and alcohol sclerotherapy have not been sufficiently studied.

• #2 Management of Bartholin’s cyst and abscess, Gynaecology (066) | Right Decisions

  https://rightdecisions.scot.nhs.uk/ggc-clinical-guidelines/gynaecology/gynaecology-guidelines/management-of-bartholin-s-cyst-and-abscess-gynaecology-066/

  Where antibiotic treatment is required, suggested regimes are Co-amoxiclav 625mg orally 8 hourly, total duration for 5 days […] Co-trimoxazole (Septrin) 960mg orally 12 hourly, total duration for 5 days (avoid 1st trimester pregnancy) […] This treatment should be used first line in the surgical management of Bartholins cysts or abscesses. This is a very well tolerated procedure and has good operative success. […] The patient can go home with the catheter in situ and usually this stays in for 4 weeks to encourage formation of an epithelialised fistula and prevent refilling of the abscess. […] Where there are no signs of infection, antibiotic cover is not required. […] Consideration should be made to cover with broad spectrum antibiotics if signs suggestive of an infection are present e.g. purulent offensive smelling discharge or signs of cellulitis.

• #2 Bartholin’s cyst: Causes, treatment, and symptoms

  https://www.medicalnewstoday.com/articles/185022

  Larger cysts or those that have become abscesses may require drainage and treatment. […] If the cyst has developed into an abscess, the doctor may prescribe antibiotics. […] For larger cysts, a doctor may recommend surgery after the completion of a course of antibiotics. The procedure for draining a large cyst is known as a balloon catheter insertion. […] This procedure takes place under local anesthetic and involves the following steps: The doctor inserts a catheter into the cyst. They inflate the catheter and may use stitches to keep it in place. The catheter remains in place for about 4 weeks to allow the fluid to drain. […] Other treatments include: Marsupialization: The surgeon cuts the cyst open and drains the fluid. They stitch the edges of the skin open to allow the secretions to come through.

• #2 Bartholin Gland Diseases Medication: Anesthetics, Antibiotics

  https://emedicine.medscape.com/article/777112-medication

  Medications used in the treatment of Bartholin abscesses include topical and local anesthetics. Antibiotics for empiric treatment of STDs are advisable in the doses usually used to treat gonococcal and chlamydial infections. Ideally, antibiotics should be started immediately prior to incision and drainage. […] Most Bartholin abscesses are caused by opportunistic pathogens. Uncomplicated abscesses in otherwise healthy women may not require antibiotic therapy after successful drainage. Treatment of N gonorrhoeae and C trachomatis should be initiated only in patients with confirmed disease. […] Management of Bartholin duct cysts and abscesses: a systematic review. […] Carbon dioxide laser treatment of Bartholin’s gland cyst. […] CO2 laser therapy of the Bartholin’s gland cyst: surgical data and functional short- and long-term results.

• #2 Bartholin Duct Cyst and Gland Abscess: Office Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0615/p760.html

  Bartholin duct cysts and gland abscesses can be treated in the office. […] The healing and recurrence rates are similar among fistulization, marsupialization, and silver nitrate and alcohol sclerotherapy. […] Needle aspiration and incision and drainage, the two simplest procedures, are not recommended because of the relatively increased recurrence rate. […] Bartholin duct cysts or gland abscesses can be effectively treated by several office procedures under local anesthesia. […] Jacobi ring and Word catheter placement have acceptable recurrence rates and low complication risks. […] Bartholin duct cysts or gland abscesses treated with incision and drainage alone or with needle aspiration have a high rate of recurrence. […] Fistulization and marsupialization are the two most common procedures for Bartholin duct cysts and gland abscesses.

• #2 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care

  https://emedicine.medscape.com/article/777112-treatment

  A Bartholin abscess is generally painful and therefore usually requires incision and drainage. Several techniques have been described, but no large prospective studies have been performed to determine relative efficacy and complications. The goal of abscess treatment is to allow drainage and to prevent rapid reaccumulation of fluid. […] The Word catheter was introduced in the 1960s. It is a small catheter with a saline inflatable balloon at the distal end. This procedure should be performed using sterile technique. In one study, Word catheter treatment was successful in 26 of 30 cases (87%) of Bartholin cyst or abscess. […] This procedure is reserved for recurrent abscesses. The acute abscess is drained prior to marsupialization. This procedure consists of a wide incision of the mass followed by suturing the inner edge of the incision to external mucosa. This complicated procedure is usually performed by a gynecologist or urologist in the OR.

• #2 Word catheter for Bartholin’s abscess — Chelsea and Westminster Hospital NHS Foundation Trust

  https://www.chelwest.nhs.uk/your-visit/patient-leaflets/womens-services/word-catheter-for-bartholins-abscess

  This leaflet explains how inserting an inflatable balloon can be used to treat women with a Bartholins cyst or abscess. […] A small procedure or surgical treatment may be used to drain it or to make a permanent opening that allows the gland to drain freely. Antibiotic treatment may have been initially used alone, but usually a persistent or growing abscess that is causing you symptoms also needs drainage. […] Insertion of an inflatable balloon is a non-surgical procedure that can be performed as an outpatient using a local anaesthetic (LA) injection to numb the area. It involves making a passage from the cyst or abscess through which the pus can drain over 4 weeks. […] The advantages are that you do not need to be admitted to hospital, it avoids a general anaesthetic and is 97% successful.

• #2 Module | ACOG

  https://www.acog.org/education-and-events/simulations/scog025/module

  Bartholin gland cyst: […] Symptomatic — Word catheter or marsupialization. […] Bartholin gland abscess: […] Drainage via Word catheter or marsupialization is preferred. […] Marsupialization preferred for: […] Recurrent cysts that failed other methods […] Larger cyst/abscess. […] Consent for Marsupialization […] Benefits: […] Resolution of discomfort and/or infection. […] Steps for Marsupialization […] Wound closure: suture cyst wall edges to adjacent skin edges using interrupted sutures with 2.0 or 3.0 delayed-absorbable suture. […] Follow Up Care […] Abscess drainage: 7-day course of antibiotics if concomitant cellulitis (TMP-SMX, doxycycline, or cephalexin).

• #2 Bartholin’s Gland Cyst: Symptoms, Causes, Diagnosis, and Removing a Bartholin Gland Cyst

  https://www.webmd.com/women/bartholins-gland-cyst

  Balloon-tipped catheter. Your doctor may choose to use a balloon-tipped catheter. This procedure is done in the doctors office. After making a small cut, they insert a small balloon-tipped catheter into the cyst. It remains in place for 4 to 6 weeks and encourages the body to form a permanent opening for any future drainage. You will be able to perform your usual activities, although sexual activity may be uncomfortable and discouraged while the catheter is in place. […] Marsupialization. If cysts bother you or come back, this procedure may help. The doctor cuts the cyst open, then stitches the skin around it to form a small pouch. This lets the fluid drain out. The doctor will pack the area with special gauze to soak up the fluid and any blood. The process takes less than half an hour, and you can go home the same day. Your doctor may prescribe painkillers afterward. Theres also a risk of infection, bleeding, and the abscess coming back.

• #2 Bartholin’s Cyst | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/33725/

  Bartholins Cyst treatment is routinely managed as a day case surgery meaning that it should not involve an overnight stay in hospital. […] After marsupialisation, you will be advised to take things easy for a few days. You should avoid having sexual intercourse until the wound has completely healed, which usually takes about 2 weeks.

• #2 Management of Bartholin’s Duct Cyst and Gland Abscess | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/0701/p135.html

  An alternative to Word catheter placement is marsupialization of a Bartholin’s cyst. […] Approximately 5 to 15 percent of Bartholin’s duct cysts recur after marsupialization. […] Although Bartholin’s gland abscesses may rupture and drain spontaneously, recurrence is likely, and surgical excision may be necessary. Excision is not an office-based procedure. […] Some investigators recommend excision of the Bartholin’s gland to exclude adenocarcinoma when cysts or abscesses occur in patients more than 40 years of age.

• #2 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532271/

  Incision and Drainage with Word catheter placement may be attempted a second time for recurrent Bartholin abscess with the addition of antibiotics. […] Antibiotic therapy should be considered for those who have failed initial ID (incision and drainage) with Word catheter placement, patients with systemic symptoms including fever, patients who have suspected sepsis, and those considered at high risk for recurrence. […] Marsupialization is performed by a gynecologist in the operating room, and for this reason, incision and drainage with Word catheter placement are usually attempted first. […] Other less common procedures include silver nitrate ablation, carbon dioxide laser vaporization, Jacobi ring placement, and Bartholin gland excision as a last resort when other modalities have failed.

• #2 Bartholin’s cyst: Causes, treatment, and symptoms

  https://www.medicalnewstoday.com/articles/185022

  Carbon dioxide laser: This highly focused laser can create an opening that helps drain the cyst. […] Needle aspiration: The surgeon uses a needle to drain the cyst. Sometimes, after draining the cyst, they fill the cavity with a 70%-alcohol solution for a few minutes before drainage. This solution reduces the risk of bacteria entering the wound. […] Gland excision: If a person has many recurring cysts that do not respond well to any therapies, the doctor may recommend removing the Bartholins gland completely. […] It is often safe to leave small, painless cysts alone or use home remedies to address any discomfort. […] However, large cysts or those that have become abscesses may need further medical attention. Several procedures are available for the management of Bartholins cysts, including balloon catheter inflation.

• #2 Bartholin’s Cyst – Symptoms, Causes, Treatment and Prevention PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Num

  https://www.pacehospital.com/bartholins-cyst-symptoms-causes-treatment-prevention

  Bartholin cyst removal surgery (Bartholin’s cyst operation) may be required to open the cyst and stitch its walls to the surrounding skin to make it open. This procedure is called marsupialisation. […] Surgery is recommended to remove the affected Bartholin’s gland if other treatments have not been effective, and Bartholin’s cysts or abscesses recurs or if cancer is suspected. […] The following are the other techniques that will be performed to treat the cysts. However, they are less commonly used or not widely available: Sclerotherapy: Using alcohol or silver nitrate may also be used to treat Bartholin duct cysts and gland abscesses, Carbon dioxide laser therapy: It includes cyst therapy, which is a safe and effective way to completely treat a Bartholin cyst, Silver nitrate gland ablation: As per some studies, this ablation following cyst drainage was as effective as marsupialization and caused less scar formation, Needle aspiration: A needle and syringe will be used to drain the Bartholin’s cyst during this process.

• #2 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care

  https://emedicine.medscape.com/article/777112-treatment

  Treatment of patients with Bartholin gland cysts by traditional surgery is characterized by disadvantages and complications such as hemorrhage, postoperative dyspareunia, infection, and the need for general anesthesia. It has been found that CO2 laser surgery might be less invasive and more effective, solving many of the problems of traditional surgery.

• #2 Bartholin Duct Cyst and Gland Abscess: Office Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0615/p760.html

  Fistulization is the traditional approach for treating symptomatic cysts or abscesses, although it is not appropriate for deep cysts. […] The Jacobi ring and the Word catheter result in good resolution, low recurrence, and fewer postprocedure complications; they are also easy and inexpensive. […] Marsupialization is appropriate for treatment of a primary or recurrent Bartholin duct cyst or gland abscess. […] Sclerotherapy using alcohol or silver nitrate may also be used to treat Bartholin duct cysts and gland abscesses. […] Incision and drainage and needle aspiration are simple procedures, but they have higher recurrence rates compared with the previously discussed office procedures and are not recommended. […] Excision is appropriate after any recurrence.

• #2 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532271/

  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. […] The treatment of Bartholin’s gland cysts by traditional surgery is characterized by some disadvantages and complications such as hemorrhage, postoperative dyspareunia, infections, the necessity for general anesthesia. Contrarily, CO2 laser surgery might be less invasive and more effective as it solves many problems of traditional surgery.

• #2 Bartholin Gland Diseases Treatment & Management: Approach Considerations, Emergency Department Care, Medical Care

  https://emedicine.medscape.com/article/777112-treatment

  This procedure requires excision of the Bartholin gland and surrounding tissue. It is disfiguring, painful, and seldom indicated in the treatment of abscess, although it may be used to treat malignancy. […] Carbon dioxide laser therapy can provide cyst vaporization in the outpatient setting. A prospective, randomized trial found that silver nitrate ablation following cyst drainage was as effective as marsupialization and caused less scar formation. Researchers concluded that procedures such as cyst/abscess fenestration and needle aspiration with or without alcohol sclerotherapy require further clinical research. […] Most patients with Bartholin gland disease are discharged home. Patients with Bartholin cyst or abscess should be advised to take warm sitz baths 3 times per day for several days. Patients with an abscess often feel immediate pain relief after the drainage procedure; however, they may require oral analgesia for several days after the procedure.

• #2 Bartholin Cyst | Pantai Hospitals

  https://www.pantai.com.my/medical-specialties/gynaecology/bartholin-cyst

  Surgery to remove the affected Bartholin gland may be recommended if other treatment options have been ineffective. […] After surgery, you may be instructed to avoid the following to aid wound healing and reduce the risk of infection: Sexual intercourse and usage of tampons for up to 4 weeks. […] Usage of perfumed bath products for up to 4 weeks.

• #2 Management of Bartholin’s cyst and abscess, Gynaecology (066) | Right Decisions

  https://rightdecisions.scot.nhs.uk/ggc-clinical-guidelines/gynaecology/gynaecology-guidelines/management-of-bartholin-s-cyst-and-abscess-gynaecology-066/

  Where antibiotic treatment is required suggest Co-amoxiclav 625mg orally 8 hourly, total duration for 5 days […] or Co-trimoxazole (Septrin) 960mg orally 12 hourly, total duration for 5 days (avoid 1st trimester pregnancy) […] Where there is a recurrent abscess or if patient would prefer to avoid Word Catheter insertion, marsupialisation under a general anaesthetic should be performed. The purpose of this is to create a fistula and prevent further abscess formation. […] Consideration should be made to continue cover with broad spectrum antibiotics, particularly if signs suggestive of an infection are present e.g. purulent offensive smelling discharge or signs of cellulitis. […] This is not routinely required after marsupialisation of the cyst or abscess. […] Simple vulval hygiene advice should include avoiding bubble baths, lotions or talcum powder. Sexual intercourse should be avoided until there is no pain or discharge.

• #2 Bartholin’s Cyst – Abscess – Clinical Features – Management – TeachMeObGyn

  https://teachmeobgyn.com/gynaecology/vaginal-vulval/bartholins-cyst-abscess/

  Complications include infection, recurrence, dyspareunia and scarring. […] Marsupialisation a vertical incision is made into the cyst, behind the hymenal ring, allowing for spontaneous drainage of the cavity. The cyst wall is then everted and approximated to the end of the vaginal mucosa by sutures. This requires a general anaesthetic to achieve good marsupialisation […] Complications include bleeding/haematoma, dyspareunia and infection. […] Less commonly used techniques include silver nitrate cautery, carbon dioxide laser and needle aspiration. Complete excision of the gland is rarely performed and usually only in cases of suspected malignancy. […] There is no evidence to routinely pack the cavity after any of these procedures. […] Note: Antibiotics are generally not used in the management of a Bartholins cyst or abscess. However, they can be considered if the patient is systemically unwell, or immunocompromised.

• #2 Bartholin’s cysts | healthdirect

  https://www.healthdirect.gov.au/bartholins-cysts

  A Bartholin’s cyst can form when ducts near the vagina opening become blocked. […] Treatment is not always needed but may include self-care, drainage or antibiotics. […] If the cyst is not causing pain or discomfort, you may not need treatment. […] Depending on the size of the Bartholin’s cyst, how painful it is and if it is infected, you may need to have the cyst drained or take a course of antibiotics. […] Sometimes, surgery may be needed to open the cyst and stitch its walls to the surrounding skin so it stays open. This procedure is called marsupialisation. Alternately you may need to remove a gland if the Bartholin’s cysts keeps coming back. […] Sometimes home treatment can help you manage the pain, and even make a cyst break open and drain by itself. […] Soaking your cyst in a shallow bath with added salt (around a teaspoon of salt per litre of water) a few times a day may help it go away on its own. This is sometimes called a 'sitz bath’. […] If you are have mild pain or discomfort, you can take over-the-counter pain medicines ask your pharmacist for advice. […] If you think your cyst has become infected, or if your pain is getting worse, ask your GP for a referral to a gynaecologist for treatment.

• #2 Bartholin gland masses – UpToDate

  https://www.uptodate.com/contents/bartholin-gland-masses

  Role of antibiotics […] There are no randomized trials that address the role of antibiotics in the management of Bartholin’s cysts or abscesses. […] In our practice, we limit antibiotic treatment to patients with: Recurrent Bartholin abscess (≥2nd occurrence). […] Known or suspected gonorrhea or chlamydia infection should be treated with appropriate antibiotics. […] Management of recurrent masses […] Recurrence may occur immediately after, or remote from, treatment and presents with the same signs and symptoms as an initial occurrence. […] For a cyst that recurs: If it is not infected, we offer expectant management or I&D with or without Word catheter placement. […] If there is a recurrence after marsupialization, we offer the patient gland excision. […] Comparison of methods

• #2 Bartholin Gland Cyst and Bartholin Gland Abscess – Women’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/women-s-health-issues/miscellaneous-gynecologic-abnormalities/bartholin-gland-cyst-and-bartholin-gland-abscess

  In women aged 40 or older, all Bartholin gland cysts must be treated, except for those that have been present for years and have not changed in appearance. […] Treatment involves […] Surgically removing the entire cyst […] Removing part of the cyst to test for cancer, then marsupializing the cyst […] For an abscess, initial treatment involves making a small incision into the abscess and placing a catheter in it to drain it. […] If the abscess refills after being drained, marsupialization, which creates a permanent opening, may be done to prevent the abscess from refilling. […] Sometimes abscesses are also treated with antibiotics.

• #2 Vaginal Cyst: Symptoms, Prevention, and Treatments | Thomson Medical

  https://www.thomsonmedical.com/blog/womens-health/vaginal-cyst

  There is no guaranteed way to prevent Bartholins cyst formation. However, you can still try: Maintain good hygiene practices. Wash the vaginal area with warm water. Wear loose-fitting underwear and clothing. Avoid using vaginal perfumes and powders. Practice safer sexual activity to reduce the risk of infection or inflammation. […] If a Bartholin cyst bursts, it might heal on its own within a few days. However, to prevent the infection from spreading, it is recommended to visit a doctor. The doctor will likely advise soaking the labia in warm water (sitz bath) and may prescribe antibiotics and pain medications.

• #2 Bartholinitis: Symptoms, Causes and Treatment Plan | DocHospitals

  https://dochospitals.com/en/bartholinitis-atc108/

  After Bartholin’s surgeries, patients generally return to normal life shortly. After the surgery, it is important to keep the area clean and dry according to the doctor’s advice. […] If Bartholin’s cyst cannot be eradicated with conservative methods or if symptoms worsen, you should consult a doctor. The doctor will then decide whether or not to use antibiotics. Antibiotic treatment depends on the causative bacteria and aims to facilitate healing of the cyst and prevent the spread of infection. […] Warm baths are also recommended after surgery. This helps clean the area while also aiding in alleviating discomfort.

• #3 Bartholin’s cyst – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-us/1060?loca

  A Bartholin’s gland abscess may result from polymicrobial infection of the cyst fluid or, less commonly, from primary infection of the gland or duct. […] Treatment of a cyst can be conservative or surgical and depends on size, symptoms, presence of infection, and whether the cyst is recurrent. […] Broad-spectrum antibiotics are recommended for the treatment of Bartholin’s gland abscesses. Incision and drainage may be required.

• #3 Bartholin’s cyst

  https://www.nhs.uk/conditions/bartholins-cyst/

  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.

• #3 Bartholin’s Cyst: Symptoms, Causes, and Treatment

  https://patient.info/womens-health/vulval-problems-leaflet/bartholins-cyst-and-abscess

  Marsupialisation is usually successful and it is rare for the problem to recur if this procedure is done. […] In recent years, various other procedures have been introduced which are sometimes used instead of marsupialisation. […] The operation chosen depends on factors such as the size of the cyst or abscess and the preference and expertise of the surgeon. […] With a Bartholin’s cyst that is uncomfortable or painful, sitting in a few inches of warm water (easiest in a bath), for 10-15 minutes, three or four times a day, may encourage the cyst to burst naturally. […] In most cases, a Bartholin’s fluid-filled swelling (cyst) or collection of pus (abscess) does not happen again after treatment with one of the operations described above.

• #3 Word catheter for Bartholin’s abscess — Chelsea and Westminster Hospital NHS Foundation Trust

  https://www.chelwest.nhs.uk/your-visit/patient-leaflets/womens-services/word-catheter-for-bartholins-abscess

  This leaflet explains how inserting an inflatable balloon can be used to treat women with a Bartholins cyst or abscess. […] A small procedure or surgical treatment may be used to drain it or to make a permanent opening that allows the gland to drain freely. Antibiotic treatment may have been initially used alone, but usually a persistent or growing abscess that is causing you symptoms also needs drainage. […] Insertion of an inflatable balloon is a non-surgical procedure that can be performed as an outpatient using a local anaesthetic (LA) injection to numb the area. It involves making a passage from the cyst or abscess through which the pus can drain over 4 weeks. […] The advantages are that you do not need to be admitted to hospital, it avoids a general anaesthetic and is 97% successful.

• #3 Laser Ablation of Bartholin’s Cysts in Charlotte North Carolina | Dr. Kevin Stepp

  https://drkevinstepp.com/bartholin_cysts.shtml

  Based in Charlotte North Carolina, Dr. Stepp is one of the few surgeons in the US performing CO2 laser ablation to treat recurrent Bartholin’s Cysts. […] Traditional options for Bartholin’s cysts include incision and drainage, marsupialization, insertion of a Word catheter, or complete removal of the gland. Laser ablation provides a less invasive and more effective option. […] Laser ablation involves the use of a laser to precisely remove the cyst or abscess. […] Recovery time after laser ablation for Bartholin’s cysts is typically shorter compared to traditional surgical techniques. […] Laser ablation offers several advantages over traditional surgical techniques for Bartholin’s cysts, including: Minimally invasive: Laser ablation is less invasive than traditional surgical techniques, resulting in smaller incisions, less tissue damage, and potentially faster recovery times. […] However, like any surgical procedure, laser ablation for Bartholin’s cysts carries some risks, including infection, bleeding, scarring, and recurrence of the cyst or abscess.

• #3 Bartholin gland masses – UpToDate

  https://www.uptodate.com/contents/bartholin-gland-masses

  I&D alone – In our practice we perform I&D alone only when a Word catheter is not available or if the cavity is too small to fit the Word catheter. […] Word catheter and marsupialization appear to be equally effective, and complications rates appear to be similarly low for both interventions. […] Excision of the entire Bartholin gland and duct is the definitive procedure for treatment of both cysts and abscesses.

• #3 How to Burst a Bartholin Cyst at Home

  https://resources.healthgrades.com/right-care/womens-health/how-to-naturally-burst-a-bartholins-cyst-at-home

  A Bartholin cyst is a fluid-filled sac that appears at the entrance of the vagina. It’s not safe to burst the cyst yourself, such as by squeezing it. But in many cases, you can take steps to encourage the cyst to naturally burst or drain at home. […] Instead, other home remedies can help you encourage the cyst to shrink or open on its own. […] To help a Bartholin cyst open, try soaking it in warm water 10 to 15 minutes at a time, several times a day for 3 to 4 days in a row. Soaking may also help soothe pain. […] A healthcare professional may recommend medical treatment if you have a Bartholin cyst that causes symptoms like pain, shows signs of infection, such as swelling, pain, fever, or unpleasant smelling discharge, or keeps coming back or hasn’t gone away on its own. […] Healthcare professionals may recommend surgery for some cases of cysts. However, they often try other treatments first, such as: incision and drainage as an outpatient procedure in a doctor’s office, antibiotics for any infections.

• #3 Bartholin’s Cyst – Treatment | Women’s Healthcare of Boca Raton

  https://www.toplinemd.com/womens-healthcare-of-boca-raton/bartholins-cyst-treatment/

  A Bartholin’s cyst (bartolinitis) is a small sac of fluid that can develop on the glands located on each side of the vagina, known as the Bartholin’s glands. […] If you are experiencing pain or have any concerns about the affected area, it’s always best to reach out to your doctor for further treatment. […] To prevent Bartholin’s cysts from becoming infected and progressing to an abscess, it’s important to practice safe sex by using forms of protection, such as condoms, that act as a barrier against sexually transmitted infections. Practicing good hygiene can also prevent a cyst from becoming infected and requiring medical attention. […] If the cyst does not go away after multiple days of self-care, it might be necessary to seek professional treatment. A visit with your doctor may include: A full pelvic exam, Testing of the vagina and/or cervix for any sexually transmitted infection, A biopsy of the cyst, if you are over 40 or postmenopausal, to test for cancerous cells.

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