WOMENS-HEALTH Messages for May, 2002: Re: Bartholin/granulation tissue

Re: Bartholin/granulation tissue

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 28 May 2002 22:30:54 -0500 (CDT)

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In reply to: Melanie: "Bartholin/granulation tissue"

At Tue, 28 May 2002, Melanie wrote: >
>I was diagnosed 4/01 with a Bartholin cyst. It drained on its own after
>a few days, and everything seemed to be fine. In late August, I started
>having pain during intercourse, went in to the Gyn, and was told I had
>some granulation tissue. It was cauterized with silver nitrate. I
>would then be okay for a few weeks, but then it returned. I was
>cauterized two more times, and then sent to a plastic surgeon. He
>basically made new cuts, stitched me up, and at the follow up he said it
>looked the same as prior to the surgery. I am now scheduled in the OR
>with my Gyn for more explanation. Apparently the plastic surgeon was
>able to probe a few cm, so they are now thinking there's some kind of
>fistula.
>
>I guess my major concern is, can I expect to be any better after this
>surgery than now? I am afraid that intercourse may become even more
>impossible than it is now... There has been discussion of excising the
>Bartholin gland, if that it what's causing the problem...
>
>Thank you.

You have a fairly good expectation of improvement. If not, the Bartholin gland resection is known as either "the most difficult little surgery in gynecology", or "the bloodiest little surgery in gynecology".

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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