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
Highlights
The Bartholin glands play an essential role in the female reproductive system, located in the posterior region of the vaginal opening
To analyse all cases of Bartholin glands pathology, and identify the different variable affecting the method of management with Marsupialization or excision
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
Summary
The Bartholin glands play an essential role in the female reproductive system, located in the posterior region of the vaginal opening. Two Bartholin glands are found in the posterior aspect of the vaginal opening, contributing to mucus secretion and vaginal lubrication, playing a crucial role in the female reproductive system [1] [2]. Bartholin cysts and abscesses are a typical presentation in women of childbearing age, due to obstruction of the glands’ openings and the accumulation of mucus in the duct [2] [3]. Bartholin cysts and abscesses are the most frequent presentations, malignancy and other benign lesions are possible pathologies. Culture and biopsy of suspicious lesions are used if needed for definite diagnosis, directing the management plan [4] [5]
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