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Pathology associated with blockage of the bartoline glands.

Bartoline glands are located on both sides of the vagina in the thickness of the labia majora and secrete a secret that provides normal vaginal moisture. In the result of blockage of the ducts of the glands Bartolini the accumulation of secret in the prostate that leads to swelling and cyst formation. In this case, an infectious process can begin in the cyst, which often leads to the development of an abscess – a purulent formation surrounded by inflamed tissues.

Causes and risk factors

 

Cysts and abscesses of Bartholin's gland are quite common. Main reason –

 

•             Inflammatory process;

 

* Injury (cut, bruise);

 

* Comorbidities: bacterial (e.g. E. coli) or infectious (e.g. gonorrhea or chlamydia).

Symptoms

Most bartoline gland cysts are asymptomatic, but large cysts can cause irritation and discomfort during sexual intercourse and walking. More often, 

the cysts are painless, unilateral and palpable at the entrance to the vagina. Cysts stretch the labia majora, causing asymmetry of the vulva.

When abscesses appear severe pain in the vulva and sometimes fever; as a rule, they are manifested by soreness and erythema. Vaginal discharge may be observed. Sexually transmitted diseases may accompany.

Treatment

In the absence of symptoms and discomfort, the cyst of the bartolin gland does not require treatment and passes on its own. In other cases, the tactics are determined based on the size of the formation, the intensity of pain and the presence of an infection that can lead to the formation of an abscess.

 

Treatment of some cysts is possible at home. Depending on the situation, the gynecologist may prescribe the followin Warm sedentary baths 

 

several times a day for 3-4 days can contribute to self-opening of the cyst, as well as maintaining intimate hygiene, reducing discomfort and improving drainage.

•             Antibacterial therapy. In the case of infection or other concomitant diseases of the pelvic organs, the doctor will prescribe antibacterial drugs.

* Surgery with drainage installation. Usually required in the presence of an abscess. Under local anesthesia, the doctor makes a small incision, through which he cleans the cavity of the cyst, and introduces a catheter (silicone tube), fixed for a period of up to 6 weeks.

* Marsupialization of the cyst is usually carried out with repeated episodes of cyst development or with severe pain. During the procedure, the doctor sutures the incision so as to form a new duct width of about 6 mm. After the procedure, a catheter is installed for a few days to drain the cavity.

 

In rare cases, when other treatments do not help, the doctor may advise to remove the bartolin gland. The operation is performed under General anesthesia.