Bartholin's duct cyst and abscess [keywords]
- Recto-Bartholin's duct fistula: a case report. [Case Reports, Journal Article, Research Support, Non-U.S. Gov't]
- Gynecol Obstet Invest 2015; 79(2):136-8.
Bartholin's duct cysts, the most common growths in the vulva, occur in the labia majora. The cyst may become infected, and an abscess may develop in the gland. Rectovaginal fistula is a rare complication and its formation is secondary to Bartholin's cyst; only 4 cases have been reported in the literature so far. In this case, the fistula was located between the rectum and a Bartholin's duct, rather than the vagina and the rectum. We present the first case of a recto-Bartholin's duct fistula, performed surgical excision and fistulectomy. Postoperative treatment with antibiotics resulted in the complete resolution of all lesions at the 3-month follow-up.
- Incidence of Bartholin duct cysts and abscesses in the Republic of Korea. [Journal Article]
- Int J Gynaecol Obstet 2013 Jul; 122(1):62-4.
To estimate the incidence of Bartholin duct cysts and abscesses in the Republic of Korea during 2009.A national patient sample (n=599 186) was obtained from Korean Health Insurance Review and Assessment Service data and analyzed to estimate the incidence of Bartholin duct cysts and abscesses among Korean women in 2009.There were 587 Bartholin duct cysts and 757 Bartholin duct abscesses during 2009. The total incidence of Bartholin duct cysts and abscesses was 0.55 per 1000 person-years and 0.95 per 1000 person-years, respectively. In women aged 35-50 years, the incidence was 1.21 per 1000 person-years and 1.87 per 1000 person-years, respectively. In multivariate logistic regression analysis, the incidence of Bartholin duct cysts and abscesses was associated with age (P<0.01), but not with season or socioeconomic status, among women aged 15-50 years. The main operation performed was marsupialization (45.2%) for Bartholin duct cysts and incision (71.5%) for Bartholin duct abscesses.The incidence of Bartholin duct cysts and abscesses increased with age until menopause, decreasing thereafter.
- Management of Bartholin duct cysts and abscesses: a systematic review. [Journal Article, Review]
- Obstet Gynecol Surv 2009 Jun; 64(6):395-404.
To review systematically the literature, published in English, on recurrence and healing after treatment of Bartholin duct cysts and abscesses.We searched PubMed, EMBASE, CINAHL, LILACS, Web-of-science, the Cochrane database, and POPLINE from 1982 until May 2008. We searched the internet, hand-searched reference lists, and contacted experts and authors of relevant papers to detect all published and unpublished studies.We included any study with at least 10 participants, addressing either frequency of recurrence or healing time after treatment of Bartholin duct cyst or abscess. We followed MOOSE (meta-analysis of observational studies in epidemiology) guidelines. Of 532 articles identified, 24 studies (5 controlled trials, 2 cohort studies, and 17 case series) met all inclusion criteria. Study size ranged between 14 and 200 patients.The interventions included: (1) Silver nitrate gland ablation, (2) cyst or abscess fenestration, ablation, or excision using carbon dioxide (CO(2)) laser, (3) marsupialization, (4) needle aspiration with or without alcohol sclerotherapy, (5) fistulization using a Word catheter, Foley catheter, or Jacobi ring, (6) gland excision, and (7) incision and drainage followed by primary suture closure. The reported frequency of recurrence varied from 0% to 38%. There was no recurrence after marsupialization in available studies. Recurrence after other treatments varied, and was most common after aspiration alone. Healing generally occurred in 2 weeks or less.There are multiple treatments for Bartholin duct cysts and abscesses. A review of the literature failed to identify a best treatment approach.Obstetricians & Gynecologists, Family PhysiciansAfter completion of this article, the reader should be able to identify seven different treatments for Bartholin duct cysts or abscesses, contrast treatment choice complications and recurrence risks for the different options for treatment of Bartholin duct cysts or abscesses, and point out the limited quality and quantity of data upon which to choose best practices.
- Management of Bartholin's duct cyst and gland abscess. [Journal Article, Review]
- Am Fam Physician 2003 Jul 1; 68(1):135-40.
Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. Bartholin's glands are located bilaterally at the posterior introitus and drain through ducts that empty into the vestibule at approximately the 4 o'clock and 8 o'clock positions. These normally pea-sized glands are palpable only if the duct becomes cystic or a gland abscess develops. The differential diagnosis includes cystic and solid lesions of the vulva, such as epidermal inclusion cyst, Skene's duct cyst, hidradenoma papilliferum, and lipoma. The goal of management is to preserve the gland and its function if possible. Office-based procedures include insertion of a Word catheter for a duct cyst or gland abscess, and marsupialization of a cyst; marsupialization should not be used to treat a gland abscess. Broad-spectrum antibiotic therapy is warranted only when cellulitis is present. Excisional biopsy is reserved for use in ruling out adenocarcinoma in menopausal or perimenopausal women with an irregular, nodular Bartholin's gland mass.
- Bartholin's duct abscess and cyst: a case-control study. [Journal Article]
- South Med J 1994 Jan; 87(1):26-9.
Little is known about the epidemiology of Bartholin's duct abscess and cyst. We did an emergency department-based case-control study to examine demographic risk factors for this condition. We found that risk varied by age. After adjustment for pregnancy status, the relative odds (odds ratio [OR]) of occurrence of Bartholin's duct abscess for women 20 to 29 years old, compared to women younger than 20 years, was 2.3. The association was weaker among women in their 30s and 40s (OR = 1.4 and 1.1, respectively). The majority of patients were Hispanic whites (66% of cases and 79% of control subjects). Risk of Bartholin's duct abscess was greater among non-Hispanic white women (OR = 1.9) and black women (OR = 2.4). At lowest risk of this condition were women with high parity (> or = 4) or high gravidity (> or = 5). These findings suggest that the risk factor profile of this condition is similar to that of most sexually transmitted diseases. The advisability of presumptive antibiotic treatment of these patients and examination and treatment of their sexual partners should be considered.
- [Treatment for Bartholin's duct abscesses and cysts by marsupialization using the CO2 laser]. [Journal Article]
- Nihon Sanka Fujinka Gakkai Zasshi 1990 Apr; 42(4):381-4.
- Bartholin's abscess: the role of Chlamydia trachomatis. [Journal Article]
- Genitourin Med 1990 Feb; 66(1):24-5.
Seventy-seven patients with a Bartholin's gland duct disorder were treated by incision and marsupialisation. At operation 18% were found to have a cyst and 82% an abscess. N gonorrhoea was isolated from four abscesses and C trachomatis from one. Bacteriological examination of the uterine cervix yielded one further case of N gonorrhoea and four more of C trachomatis. N gonorrhoea and C trachomatis are of limited aetiologic importance as causes of Bartholin's duct abscess. However, bacteriological examination for STD of the abscess and the cervix is mandatory because of adequate antibiotic treatment of the patients and their contacts.
- [Treatment of Bartholin's gland abscesses with the use of contraceptive loops (IUD)]. [English Abstract, Journal Article]
- Ginekol Pol 1977 Nov; 48(11):985-8.
- Office treatment of cyst and abscess of Bartholin's gland duct. [Journal Article]
- South Med J 1968 May; 61(5):514-8.