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Quality of life and sexual activity during treatment of Bartholin's cyst or abscess with a Word catheter.
Eur J Obstet Gynecol Reprod Biol. 2015 Jul; 190:76-80.EJ

Abstract

OBJECTIVES

Cysts and abscesses of the Bartholin glands are a common occurrence in gynecologic or general practice. Little is known about restrictions in patient's daily life and sexual activity during treatment of Bartholin's cysts in general and especially with the Word catheter. This study is to assess the Quality of Life and Sexual Activity during treatment of Bartholin cyst's and abscesses with the Word-catheter.

STUDY DESIGN

Between March 2013 and May 2014 30 women were included in the study. Pain before treatment and during catheter insertion and removal was assed using a standardized VAS scale. Health-related quality of life was assessed with the Short-Form-12-Health-Survey. Fallowfield's Sexual Activity Questionnaire was administered to investigate sexual limitations. During treatment patient self-reported to a pain-diary (VAS 0-10).

RESULTS

Pain levels decreased from a 3 [0-10] on day 1 to 0 [0-6] on day 6 with the median staying at 0 for the remaining treatment period. Discomfort and pain during sexual activity decreased significantly from initial presentation to end of treatment. The mental component summary score of the SF 12 increased significantly from 46.94±10.23 before treatment to 50.58±7.16 after treatment (p=0.016); the physical component summary score did not change significantly.

CONCLUSIONS

The Word catheter is well tolerated for the treatment of Bartholin's cysts and abscesses with few and no serious side effects and little impingement of sexual health. A more relevant informed consent ahead of treatment, specifically with regard to pain in the first few days after catheter placement, might further increase acceptance of the catheter and adjust patient expectations.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria. Electronic address: philipp.reif@medunigraz.at.Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25800788

Citation

Reif, Philipp, et al. "Quality of Life and Sexual Activity During Treatment of Bartholin's Cyst or Abscess With a Word Catheter." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 190, 2015, pp. 76-80.
Reif P, Elsayed H, Ulrich D, et al. Quality of life and sexual activity during treatment of Bartholin's cyst or abscess with a Word catheter. Eur J Obstet Gynecol Reprod Biol. 2015;190:76-80.
Reif, P., Elsayed, H., Ulrich, D., Bjelic-Radisic, V., Häusler, M., Greimel, E., & Tamussino, K. (2015). Quality of life and sexual activity during treatment of Bartholin's cyst or abscess with a Word catheter. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 190, 76-80. https://doi.org/10.1016/j.ejogrb.2015.03.008
Reif P, et al. Quality of Life and Sexual Activity During Treatment of Bartholin's Cyst or Abscess With a Word Catheter. Eur J Obstet Gynecol Reprod Biol. 2015;190:76-80. PubMed PMID: 25800788.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life and sexual activity during treatment of Bartholin's cyst or abscess with a Word catheter. AU - Reif,Philipp, AU - Elsayed,Hend, AU - Ulrich,Daniela, AU - Bjelic-Radisic,Vesna, AU - Häusler,Martin, AU - Greimel,Elfriede, AU - Tamussino,Karl, Y1 - 2015/03/10/ PY - 2014/11/17/received PY - 2015/02/21/revised PY - 2015/03/02/accepted PY - 2015/3/25/entrez PY - 2015/3/25/pubmed PY - 2016/2/26/medline KW - Abscess KW - Bartholin KW - Cyst KW - Quality of life KW - Sexual activity KW - Word catheter SP - 76 EP - 80 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 190 N2 - OBJECTIVES: Cysts and abscesses of the Bartholin glands are a common occurrence in gynecologic or general practice. Little is known about restrictions in patient's daily life and sexual activity during treatment of Bartholin's cysts in general and especially with the Word catheter. This study is to assess the Quality of Life and Sexual Activity during treatment of Bartholin cyst's and abscesses with the Word-catheter. STUDY DESIGN: Between March 2013 and May 2014 30 women were included in the study. Pain before treatment and during catheter insertion and removal was assed using a standardized VAS scale. Health-related quality of life was assessed with the Short-Form-12-Health-Survey. Fallowfield's Sexual Activity Questionnaire was administered to investigate sexual limitations. During treatment patient self-reported to a pain-diary (VAS 0-10). RESULTS: Pain levels decreased from a 3 [0-10] on day 1 to 0 [0-6] on day 6 with the median staying at 0 for the remaining treatment period. Discomfort and pain during sexual activity decreased significantly from initial presentation to end of treatment. The mental component summary score of the SF 12 increased significantly from 46.94±10.23 before treatment to 50.58±7.16 after treatment (p=0.016); the physical component summary score did not change significantly. CONCLUSIONS: The Word catheter is well tolerated for the treatment of Bartholin's cysts and abscesses with few and no serious side effects and little impingement of sexual health. A more relevant informed consent ahead of treatment, specifically with regard to pain in the first few days after catheter placement, might further increase acceptance of the catheter and adjust patient expectations. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/25800788/Quality_of_life_and_sexual_activity_during_treatment_of_Bartholin's_cyst_or_abscess_with_a_Word_catheter_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(15)00079-2 DB - PRIME DP - Unbound Medicine ER -