The Occasional Bartholin cyst management.

Introduction: Yoni Kanda is a disease condition of the vulva or lower vaginal canal that has an irregular or circular shape. Clinically, it can be correlated with Bartholin's gland cyst, which represents a significant gynaecological issue affecting women's quality of life. This case study explores the efficacy of Ayurvedic sthanik chikitsa (local treatment) combined with oral medication in managing Bartholin's cyst in an adolescent girl, highlighting an alternative to conventional surgical intervention. Case Report: A 13-year-old female patient presented with a six-month history of vulval swelling diagnosed as a Bartholin’s gland cyst. The patient underwent a comprehensive Ayurvedic treatment regimen, including yoni lepa, prakshalan, and aalepa, along with oral medication comprising Triphala Guggulu and Punnarnvaasthak Kashaya, known for their anti-inflammatory, antibacterial, and wound-healing properties. Result: The treatment resulted in a significant reduction in the size of the cyst and complete relief from symptoms, demonstrating the potential of Ayurvedic management in treating Bartholin's cyst without surgical intervention. Discussion and Conclusion: The successful management of Bartholin's cyst through Ayurvedic treatment in this case study suggests a viable, non-invasive alternative to conventional surgical methods. It underscores the importance of further research to validate and implement Ayurvedic approaches in the management of Yoni Kanda (Bartholin's cyst), potentially offering patients safer and less traumatic treatment options.

Background: Bartholin cyst is an enlargement of the duct gland as a result of some blockade. Infected Bartholin cyst can develop into an abscess. The diseases are common in reproductive women but the ideal treatment for this disease remains controversial. Purpose: To evaluate the management of Bartholin cyst and abscess in new patients according to diagnosis approach by anamnesis and physical examination. Methods: This study is a retrospective descriptive study. The data were drawn from medical records of new patients Bartholin cysts and abscesses in the Division of Sexually Transmitted Infections in Outpatient Clinic of Dermatovenereology Dr. Soetomo General Hospital during 2012-2014. Results: During 2012-2014, there are 46 patients with Bartholin cyst and 25 with Bartholin abscess. Visit times tend evenly throughout the year without a distinctive pattern. Most patients were in the age group 25-44 and married. Based on the history, 65.2% and 80.0% of patients with Bartholin cyst and abscess complained for a lump. From the physical examination, 39.1% and 44.0% of patients with Bartholin cyst and abscess had a lump size of 1-3 cms, most have a flat surface properties, a rubbery consistency, and obtained inflammatory signs. Gram and a wet mount examination performed at 84.8% and 72.0% of patients with Bartholin cyst and abscess, and showed normal results. Most treatment given to the patients with Bartholin cyst were antibiotics (60.9%) and patients with Bartholin abscess were given more than one treatment and most treatments given were antibiotics (64.0%) and non-steroidal anti-inflammatory drugs (72%). Conclusion : The diagnosis approach of Bartholin cyst and abscess was obtained by anamnesis, physical examination, and additional examination. Most of Bartholin cyst and abscess treated with antibiotics and NSAID, most of surgical treatment is marsupialization.

No consensus on the management of symptomatic cysts or abscesses of the Bartholin's gland exists. To assess the effectiveness and safety of surgical interventions for a symptomatic Bartholin's cyst or abscess. We searched bibliographical databases from inception to April 2019. Randomised trials evaluating a surgical intervention for the treatment of a symptomatic Bartholin's cyst or abscess. Eight trials, reporting data from 699 women, were included. Study characteristics and methodological quality were recorded for each trial. Summary estimates were calculated using random-effects methods. When considering the recurrence of a symptomatic Bartholin's cyst or abscess, the evidence was consistent with notable effects in either direction (risk ratio [RR] 0.76; 95% confidence interval [CI] 0.41-1.40) when comparing marsupialisation with incision, drainage and insertion of a Word catheter. Limited inference could be made when comparing marsupialisation with incision, drainage and silver nitrate insertion (RR 1.00; 95% CI 0.57-1.75), and incision, drainage and cavity closure (RR 0.25; 95% CI 0.01-4.89). There was limited reporting of secondary outcomes, including haematoma, infectious morbidity and persistent dyspareunia. Current randomised trial evidence does not support the use of any single surgical intervention for the treatment of a symptomatic cyst or abscess of the Bartholin's gland. PROSPERO: International Prospective Register of Systematic Reviews; CRD42018088553. Further research is needed to identify an effective treatment for #Bartholin's cyst or abscess. @jamesmnduffy.

Novel Technique for Management of Bartholin Gland Cysts and Abscesses

Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs

Introduction: Bartholin gland cysts are common benign vulvar lesions in women of reproductive age. Large or recurrent cysts can be challenging to treat, particularly when they impact quality of life or body image. This case highlights the surgical management of a giant Bartholin cyst in a postmenopausal woman, with a focus on functional and aesthetic outcomes. Case Presentation: A 47-year-old woman presented with a large right labial mass progressively increasing over several months, associated with discomfort during walking and sitting. Clinical examination revealed a tense, fluctuant cyst arising from the right Bartholin gland. Surgical excision was performed through a concealed mucosal incision on the medial aspect of the labia majora. After removal, excess skin resulting from tissue distension was excised, and a layered closure with absorbable sutures was performed to restore vulvar symmetry. Postoperative recovery was uneventful, with excellent aesthetic and functional results at one month. Discussion: Bartholin cysts exceeding 4–5 cm are rare, particularly in perimenopausal or postmenopausal women. Although marsupialization remains a standard approach, complete excision may be preferred for large or symptomatic cysts. In this case, a targeted aesthetic approach was used by concealing the incision and removing redundant skin to restore anatomical symmetry. The case underlines the importance of individualized surgical planning, particularly in patients concerned about body image and aesthetics. Few reports describe the aesthetic consideration in Bartholin gland surgery, making this case a unique contribution. Conclusion: This case demonstrates that with careful surgical planning, large Bartholin cysts can be effectively treated with attention to both function and vulvar aesthetics. Aesthetic outcomes are increasingly relevant in vulvar surgery and deserve greater attention in the literature.

This study reports results of 52 patients with Bartholin abscesses or cysts who were managed by silver nitrate stick insertion into the cyst or abscess cavity for 48 hours. All patients showed complete healing within 15 days. However, 2 (3.8%) had recurrences within the first 2 months; 1 of these patients was treated with excision and the other by repetition of the same method with no further complaints. Silver nitrate application for Bartholin cysts or abscesses was found to be an effective, simple, inexpensive and the least anaesthetic requiring procedure, which can easily be carried out in the outpatient setting.

Bartholin's Cyst Management

Management of Bartholin's cyst and abscess

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

Prospective Randomized Study of Marsupialization versus Silver Nitrate Application in the Management of Bartholin Gland Cysts and Abscesses

Surgical management of Bartholin cysts and abscesses in French university hospitals

Silver nitrate for Bartholin gland cysts

Aim: In the present study, we aimed to compare the effectiveness of incision + drainage alone, marsupialization, and incision + drainage followed by silver nitrate application for the office management of Bartholin cysts/abscesses. Material and Method: A total of 128 women who presented to our clinic, diagnosed with Bartholin cysts/abscesses and underwent Bartholin gland sparing office-based surgery were included in this retrospective study. Patients’ demographic data, laterality and size of the cyst, surgical method performed, operational time, presence of recurrence, and treatment method of recurrent cysts/abscesses were recorded. Patients were divided into three group according to the operation they have undergone as incision + drainage alone, incision + drainage followed by silver nitrate, marsupialization. Results: The mean cyst diameter was found as 3.00±1.05 cm. Eighteen (14.1%) patients developed recurrence. Of all patients, 37.5% underwent incision + drainage alone, 8.6% incision + drainage followed by silver nitrate application and 62.5% marsupialization. The mean operational time was significantly longer in the marsupialization group compared to incision + drainage alone and incision + drainage followed by silver nitrate groups (both, p

Defining and Redefining Midwifery Practice.