DEFINITION

Removal or repair of a Bartholin's cyst.

WHY PERFORMED

Prevention of recurrent infection after an abscess has been drained.

USUALLY OPERATED

By Obstetrician- gynecologist or general surgeon as an Outpatient procedure under general anesthesia.

DIAGNOSTIC TESTS

• Before surgery: Pre-op investigations with laboratory examination of vaginal discharge.
• After surgery: Laboratory examination of pus or secretions from opened glands.

DESCRIPTION OF OPERATION

There are two methods to treat infected Bartholin's glands. One is to remove them. The preferred method is marsupialization. In this procedure, the edges of the glands are opened and the linings are folded back and sewn shut. This forms a small pouch that drains easily. Sutures that will be absorbed by the body are used to close the pouch.

POSSIBLE COMPLICATIONS

• Excessive bleeding
• Surgical-wound infection.

TREATMENT

SELF CARE

• Wear cotton panties. Don't wear tight clothing, such as jeans.
• Take hot sitz baths several times a day to relieve discomfort.

MEDICATION

Your doctor may prescribe:

• Pain relievers.
• Stool softeners to prevent constipation.
• Antibiotics to fight infection.

SEXUAL ACTIVITY

Resume sexual relations when your doctor determines that healing is complete.

BE ALERT FOR

• Pain, swelling, redness, drainage or bleeding increases in the surgical area.
• New, unexplained symptoms develop. Drugs used in treatment may produce side effects.