“Management of Bartholin Cysts and Abscess” in a Tertiary Care Centre, Jeddah, Saudi Arabia

Abstract

Objective: To analyse all cases of Bartholin glands pathology (cysts and abscess), and identify the different variable affecting the method of management with Marsupialization or excision. Methods: This study is a cross-sectional retrospective analysis of all cases of Bartholin cysts and abscess admitted and managed at KAUH, from January 2017 to December 2017. Results: 48 patients were analysed: age (32.60 ± 9.9), parity, BMI (26.9 ± 4.98). Out of 48 patients, 25 (52.1%) were diagnosed as Bartholin cysts and 23 (47.9%) as Bartholin abscess. 72.9% (35) patients were managed with Marsupialization, and only 27.1% ended with excision. Comparing age in years, parity and BMI in the cases managed by Marsupialization with those with excision, the only statically significant difference was found in the parity. When comparing the important factors collected, younger subjects less than 35 years old, never being pregnant and BMI less than 30 had more Marsupialization than excision. But age < 35 was statistically significant (Table 1). Abscess and non-recurrent had more Marsupialization but were statistically not significant. Other factors, past medical and surgical history and type of anaesthesia were the same in both groups. Logistic regression performed using the dependent variable for Marsupialization rather than excision with different covariant categorised variable, age less than 35, single, abscess, non-recurrent, and BMI less than 30 (Table 2). Age less than 35 and BMI less than 30 were likely to have Marsupialization whether it is an abscess or cysts, but the difference is not statistically significant. When we looked at different variables like single and non-recurrent, there was no difference. But Abscess formation was in favor of Marsupialization statistically significant p < 0.002 (OR95% CL 2.446; 1.209-37.844). Conclusion: The traditional treatment modality, which is Marsupialization, was save effective and still mostly performed in the younger age group of patients. Abscess formation is favoring its choice as treatment.

Absceso de la glándula de bartolino

“…El método ideal debe tener una baja tasa de recurrencia y no debe causar disfunción, dispaurenia, así como disminución de la lubricación. [2][3][4][5][6] Es una condición frustrante para los pacientes. Cuando ocurren los síntomas; a menudo experimentan molestias durante el coito o dolor al sentarse o caminar.…”

“…2 Aproximadamente el 2% de las mujeres, principalmente en su primer periodo reproductor, desarrolla quiste o absceso de la glándula de Bartholino. [2][3] Las complicaciones de las glándulas de Bartolino se dan por la formación de quistes que afectan los conductos debido al bloqueo de salida de fluidos. Cada vez que el moco afecta y forma un quiste dilatado se crea un bloqueo de estas glándulas.…”