WOMENS-HEALTH Messages for July, 2008: Re: BARTHOLIN'SGLAND: Bartholin's gland removal? Office management

Re: BARTHOLIN'SGLAND: Bartholin's gland removal? Office management

From: Hope Waltman (anonymous@obgyn.net)
Sun, 20 Jul 2008 14:22:56 -0500 (CDT)

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In reply to: Tanya: "Re: BARTHOLIN'SGLAND: Bartholin's gland removal?"

Office Management of Bartholin Gland Cysts and Abscesses Dr. Hill

http://www.aafp.org/afp/980401ap/hill.html

"Word Catheter Placement of a Word catheter

A marsupialization procedure can be performed if a cyst recurs despite treatment with a Word catheter or if the physician prefers it as a first-line technique.

A variation on the classic marsupialization procedure is a "window operation."

A cyst that has recurred several times despite office-based treatment may require excision. Excision of a Bartholin gland cyst is an outpatient surgical procedure that probably should be performed in an operating suite because of the possibility of copious bleeding from the underlying venous plexus (vestibule bulbs).

Treatment of Bartholin gland abscesses is similar to that of symptomatic cysts. If an abscess points and ruptures spontaneously, the patient may need only sitz baths, antibiotics and pain medication. In fact, it is prudent to treat early abscesses with sitz baths until the abscess points, making incision and definitive treatment easier. Placement of a Word catheter, a marsupialization or "window" procedure, application of silver nitrate to the abscess cavity, carbon dioxide laser excision and surgical excision are all acceptable options for treatment of a Bartholin gland abscess, although excision would not be the primary choice because of the risk of hemorrhage. Cultures for Chlamydia and gonococcal organisms should be obtained and a course of oral broad-spectrum antibiotics prescribed. Diabetic patients need careful observation due to their susceptibility to necrotizing infections, and consideration should be given to inpatient management of these patients.

Adenocarcinoma of Bartholin's gland is rare but should be considered in the differential diagnosis of labial masses.14 The incidence is highest among women in their 60s."

and more info and photos in the article.

Regards, Hope Waltman, Fibroid Forum and WH Forum Moderator

http://www.hopeforfibroids.org http://www.doctorsinfoweb.com/doctors.htm UTERINE FIBROIDS INFO: http://www.obgyn.net/fibroid-resource-center/

http://www.obgyn.net/fibroid-resource-center/?page=articles/patient_articles http://forums.obgyn.net/forums/womens-health/

At Tue, 15 Jul 2008, Tanya wrote: >
>Hi, I feel your pain. I had one of these swell really big and stay that
>way, i couldn't even sit down - i even bought one of those donut
>cushions to sit on and it helped some. I'm not sure if it has to be
>swollen or not to see if it can be removed. Have you done a internet
>search?
>
>At Mon, 30 Jun 2008, Cornleg1 wrote:
>>
>>Hi, I have had recurring Bartholin's gland abscesses on the right side
>>for the past three years (about 10 in all). I had a marsupilization
>>last September. In January, it began hurting again. It was painful for
>>about a week but did not swell or anything and just went away on its
>>own. My gyn recommends gland removal, but doesn't want to do it unless
>>everything is all swollen (I guess so they can see to get all of it).
>>But now it's hurting again, and not swelling again, and I'm sick of it!
>>I want to get rid of this thing once and for all! Can I have gland
>>removal surgery without the abscess being all swollen? Currently, I can
>>feel a lump there and it is painful, but not swollen.

Next message: Walter Futterweit, MD, FACE,FACP: "Re: MENORRHAGIA: tissue, watery discharge, no period, negative HPT"
Previous message: Hope Waltman: "OVARYREMOVAL: Questioning The Removal Of Ovaries During Hysterectomy"
In reply to: Tanya: "Re: BARTHOLIN'SGLAND: Bartholin's gland removal?"

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