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Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs.
Eur J Obstet Gynecol Reprod Biol. 2015 Jul; 190:81-4.EJ

Abstract

OBJECTIVE

Bartholin's cysts and abscesses occur in about 2% of women. None of the surgical or conservative treatment approaches have been proven to be superior. The Word catheter is an outpatient treatment option, but little is known about aspects of implementing this therapy in an office setting. The present study's focus is on recurrence rates and organizational requirements of implementing outpatient treatment of Bartholin's cyst and abscess and compares costs of Word catheter treatment and marsupialization.

STUDY DESIGN

Between March 2013 and May 2014 30 women were included in the study. We measured time consumed for treatment and follow-up and analyzed costs using the Word catheter and marsupialization under general anesthesia. We also assessed the ease of use of the Word catheter for application and removal using a standardized visual analog scale (VAS 1-10).

RESULTS

Word catheter treatment was successful in 26/30 cases (87%). Balloon loss before the end of the 4-week treatment period occurred in 11/26 cases with a mean residence time of 19.1 (±10.0) days. None of the patients with early catheter loss developed recurrent cyst or abscess. Recurrence occurred in 1/26 cases (3.8%). Difficulty-score of application was 2 [1-10] and of removal 1 [1], respectively. Costs were € 216 for the treatment in the clinic as compared with € 1584/€ 1282 for surgical marsupialization with a one-night stay or daycare clinic, respectively.

CONCLUSIONS

The present study indicates that the Word catheter is an easy to handle, low cost outpatient procedure with acceptable short-term recurrence rates. Treatment costs are seven times lower than for marsupialization.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Medical University of Graz, Austria. Electronic address: philipp.reif@medunigraz.at.Department of Obstetrics and Gynecology, Medical University of Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Austria.Department of Financial and Patient Management, Steiermärkische Krankenanstaltengesellschaft (KAGES), Graz, Austria.Department of Obstetrics and Gynecology, Medical University of Graz, Austria.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25963974

Citation

Reif, Philipp, et al. "Management of Bartholin's Cyst and Abscess Using the Word Catheter: Implementation, Recurrence Rates and Costs." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 190, 2015, pp. 81-4.
Reif P, Ulrich D, Bjelic-Radisic V, et al. Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs. Eur J Obstet Gynecol Reprod Biol. 2015;190:81-4.
Reif, P., Ulrich, D., Bjelic-Radisic, V., Häusler, M., Schnedl-Lamprecht, E., & Tamussino, K. (2015). Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 190, 81-4. https://doi.org/10.1016/j.ejogrb.2015.04.008
Reif P, et al. Management of Bartholin's Cyst and Abscess Using the Word Catheter: Implementation, Recurrence Rates and Costs. Eur J Obstet Gynecol Reprod Biol. 2015;190:81-4. PubMed PMID: 25963974.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs. AU - Reif,Philipp, AU - Ulrich,Daniela, AU - Bjelic-Radisic,Vesna, AU - Häusler,Martin, AU - Schnedl-Lamprecht,Elke, AU - Tamussino,Karl, Y1 - 2015/04/29/ PY - 2015/02/24/received PY - 2015/04/15/revised PY - 2015/04/17/accepted PY - 2015/5/13/entrez PY - 2015/5/13/pubmed PY - 2016/2/26/medline KW - Abscess KW - Application KW - Bartholin KW - Costs KW - Cyst KW - Time SP - 81 EP - 4 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 190 N2 - OBJECTIVE: Bartholin's cysts and abscesses occur in about 2% of women. None of the surgical or conservative treatment approaches have been proven to be superior. The Word catheter is an outpatient treatment option, but little is known about aspects of implementing this therapy in an office setting. The present study's focus is on recurrence rates and organizational requirements of implementing outpatient treatment of Bartholin's cyst and abscess and compares costs of Word catheter treatment and marsupialization. STUDY DESIGN: Between March 2013 and May 2014 30 women were included in the study. We measured time consumed for treatment and follow-up and analyzed costs using the Word catheter and marsupialization under general anesthesia. We also assessed the ease of use of the Word catheter for application and removal using a standardized visual analog scale (VAS 1-10). RESULTS: Word catheter treatment was successful in 26/30 cases (87%). Balloon loss before the end of the 4-week treatment period occurred in 11/26 cases with a mean residence time of 19.1 (±10.0) days. None of the patients with early catheter loss developed recurrent cyst or abscess. Recurrence occurred in 1/26 cases (3.8%). Difficulty-score of application was 2 [1-10] and of removal 1 [1], respectively. Costs were € 216 for the treatment in the clinic as compared with € 1584/€ 1282 for surgical marsupialization with a one-night stay or daycare clinic, respectively. CONCLUSIONS: The present study indicates that the Word catheter is an easy to handle, low cost outpatient procedure with acceptable short-term recurrence rates. Treatment costs are seven times lower than for marsupialization. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/25963974/Management_of_Bartholin's_cyst_and_abscess_using_the_Word_catheter:_implementation_recurrence_rates_and_costs_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(15)00136-0 DB - PRIME DP - Unbound Medicine ER -