Management of Bartholin Duct Cysts and Abscesses

Wechter, Mary Ellen; Wu, Jennifer M.; Marzano, David; Haefner, Hope K.

doi:10.1097/ogx.0b013e31819f9c76

Cited by 103 publications

(88 citation statements)

References 28 publications

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“…Silver nitrate ablation is frequently associated with chemical vulvar burning and labial edema. Alcohol sclerotherapy can lead to transient hyperemia, hematoma, tissue necrosis, and scarring 1,5 . A prospective randomized study published in 2009 6 aimed at comparing the efficacy of marsupialization and silver nitrate in the treatment of 212 patients with symptomatic Bartholin's gland cysts.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are many treatment modalities available for this condition, the best approach is yet to be established 5 . Conventional treatments, like surgical excision and marsupialization, are still the most commonly used.…”

Section: Introductionmentioning

confidence: 99%

“…In the past years, several authors have advocated the use of less-invasive but equally effective techniques for the treatment of this condition, like fistulization using Word catheter, alcohol sclerotherapy, or silver nitrate ablation 5 . Recently, outpatient carbon-dioxide (CO 2 ) laser vaporization of Bartholin's gland cysts has emerged as a safe and effective alternative, with several advantages over the conventional treatments.…”

Section: Introductionmentioning

confidence: 99%

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Bartholin's gland cysts: management with carbon-dioxide laser vaporization

Figueiredo¹,

Duarte²,

Gomes³

et al. 2012

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To evaluate the effectiveness, recurrence rate, and complications of carbon-dioxide laser vaporization in the treatment of Bartholin's gland cysts. METHODS: A retrospective study including 127 patients with symptomatic Bartholin' gland cysts submitted to carbon-dioxide laser vaporization at our institution from January 2005 to June 2011. Patients with Bartholin's gland abscesses and those suspected of having neoplasia were excluded. All procedures were performed in an outpatient setting under local anaesthesia. Clinical records were reviewed for demographic characteristics, anatomic parameters, intraoperative and postoperative complications, and follow-up data. Data were stored and analyzed in Microsoft Excel ® 2007 software. A descriptive statistical analysis was performed, and its results were expressed as frequency (percentage) or mean±standard deviation. Complication, recurrence, and cure rates were calculated. RESULTS: The mean age of the patients was 37.3±9.5 years-old (range from 18 to 61 years-old). Seventy percent (n=85) of them were multiparous. The most common symptom was pain and 47.2% (n=60) of patients had a history of previous medical and/or surgical treatment for Bartholin's gland abscesses. Mean cyst size was 2.7±0.9 cm. There were three (2.4%) cases of minor intraoperative bleeding. Overall, there were 17 (13.4%) recurrences within a mean of 14.6 months (range from 1 to 56 months): ten Bartholin's gland abscesses and seven recurrent cysts requiring reintervention. The cure rate after single laser treatment was 86.6%. Among the five patients with recurrent disease that had a second laser procedure, the cure rate was 100%. CONCLUSIONS: At this institution, carbon-dioxide laser vaporization seems to be a safe and effective procedure for the treatment of Bartholin's gland cysts.Resumo OBJETIVO: Avaliar a eficácia, a taxa de recorrência e as complicações da vaporização laser com CO 2 no tratamento dos cistos da glândula de Bartholin. MÉTODOS: Estudo retrospectivo com 127 pacientes que apresentavam cistos sintomáticos da glândula de Bartholin submetidas à vaporização laser CO 2 na nossa instituição de janeiro de 2005 a junho de 2011. Foram excluídas todas as pacientes com abcessos da glândula de Bartholin ou com suspeita de câncer. Todos os procedimentos foram realizados em regime ambulatorial, sob anestesia local. A coleta dos dados foi feita com base na consulta do processo clínico, tendo-se procedido à análise das características demográficas, dos parâmetros anatômicos, das complicações intra e pós-operatórias e dos dados de acompanhamento. Os dados foram armazenados e analisados no software Microsoft Excel ® 2007, e os resultados foram apresentados como frequência (porcentagem) ou média±desvio padrão. As taxas de complicações, recorrência e cura foram calculadas. RESULTADOS: A idade média das pacientes foi de 37,3±9,5 anos (variando entre 18 e 61 anos). Setenta por cento (n=85) delas eram multíparas. A queixa mais frequente foi dor e 47,2% (n=60) das pacientes tinham antecedente...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Bartholin's gland cysts: management with carbon-dioxide laser vaporization

Figueiredo¹,

Duarte²,

Gomes³

et al. 2012

Rev. Bras. Ginecol. Obstet.

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“…Faculdade de Odontologia, Universidade Veiga de Almeida, Rio de Janeiro, RJ. [3]. Faculdade de Farmácia e de Enfermagem -Centro Universitário UNIABEU, Rio de Janeiro, RJ.…”

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Diagnosis and management of acute puerperal bartholinitis caused by Escherichia coli

Reis

Pinho

Ferreira

2014

Rev. Soc. Bras. Med. Trop.

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814www.scielo.br/rsbmt I www.rsbmt.org.br Revista da Sociedade Brasileira de Medicina Tropical 47(6):814, Nov-Dec, 2014http://dx.doi. org/10.1590/0037-8682-0160-2014 A 27-year-old, Caucasian, university-graduated, married, puerperal female patient who lived in the City of Vitoria, State of Espírito Santo, Brazil, presented with recurring genital moniliasis, without a medical history of underlying diseases. She underwent regular cytology exams, including cervical and vaginal samples that showed no atypia. Clinical evaluation also remained unchanged.The test for Streptococcus agalactiae in the 37 th gestational week was negative. This primiparous patient underwent a cesarean section due to cephalo-pelvic disproportion 15 days prior to abscess drainage of the Bartholin's gland on the left side, which characterized a clinical case of acute bartholinitis.The onset of this condition was an extremely painful tumor in the genital area fi ve days after delivery. It was clinically detected as local redness, which started to bulge and then progressed to fl uctuation (abscess) (Figures A and B). Other possible differential diagnostic hypotheses were Skene duct cysts, which are rare; epidermal inclusion cyst; and papillary hidradenoma, among other Bartholin's gland benign lesions. Abscess drainage was performed, and purulent secretion material was collected for culture, which evidenced growth of Escherichia coli. Oral antibiotic therapy (500mg cephalexin) was prescribed every six hours for seven days.Remission of the Bartholin abscess at the end of the antibiotic therapy was observed. During the 5-year clinical follow-up in the gynecology assistance program up to now recurrence was not observed.

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“…Each of the treatments could be the appropriate option depending on the patient's characteristics and the provider's experience and resources without superiority to each other. 3 Endometriosis may be detected in different localizations and extrapelvic endometriosis is usually detected incidentally or on pathologic examination. 4,5 Case Report A 46-year-old multiparous patient was admitted to our …”

Section: Introductionmentioning

confidence: 99%