WOMENS-HEALTH Messages for November, 2001: Re: Bartholin Cyst Facts & Myths

Re: Bartholin Cyst Facts & Myths

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 15 Nov 2001 10:59:58 -0600 (CST)

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At Thu, 15 Nov 2001, Allysa wrote: >
>Am scheduled for a marsupialization next month for my bartholin cyst.
>I've had it for a year & sitz baths, antibiotics, and draining cyst
>cavity with a needle hasn't helped. It's about 3 cm & has never been
>infected. Never had this before.
>
>My gyne says that if I drained it with a Word Catheter for a few days
>the chance of recurrence is 50-60 % because the opening will close. She
>says that even if I left the Word Catheter in for 6 weeks, it still
>wouldn't create a permanent opening. True?

If it stays there that long it should be a permanent tract. I've never been able to get one to stay tyhat long though.

>
>She mentioned the following procedure as an alternative to the marsup. A
>cross shaped incision is made, cavity is drained & edges are sewn to
>create opening. Says it's a quicker less invasive procedure than the
>Marsup & is done under local anesthesia.

Sounds like a modification of a marsupialization.

She recommends the Marsup. >though in case she has to go in deeper; marsupialization is done under
>general anesthesia here in Canada. Seen three doctors & none will do it
>using local anesthesia. Is it because it's covered under our Medicare
>system here?

I don't know.

>Anyway, my question is: Do I need the Marsupialization procedure or is
>the cross shaped incision method sufficient?

Not sure why this would require less anesthesia than a marsupializtion.???????????

>
>Many women on this forum have had unsuccessful Marsups cause the opening
>eventually closed up. My gyne claims that all her marsup. surgeries
>have been successful. Hmmmmm?

100% of how many? 2??????????

I don't know, I am just asking.

>
>Last questions. Is a wedge of vulvar skin & cyst wall removed in the
>marsup. procedure?

Sometimes, but is not part of the procedure. If done, it is usually in older women to make sure there is no cancer, since Bartholin's Gland DUCT Cysts are rather rare in older women.

How long should the gauze be left in? She wants half >removed the next day & the rest within two days of surgery.

With a Marsupialization, I don't leave any gauze in.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
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Previous message: Richard Chudacoff, MD: "Re: Adhesions, poor quality oocytes and high FSH"
In reply to: Allysa: "Bartholin Cyst Facts & Myths"
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Reply: Northern_Filly: "Re: Bartholin Cyst Facts & Myths"

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