Recurrent or inflamed Bartholin gland cyst: surgery as an option to get rid of once and for all

The bartholin gland cyst can be a woman for a long time( for years) and not bring any anxiety. It is formed after the inflammation, trauma and sometimes for not quite clear reasons. Uncomplicated small size of the cyst does not interfere with active sex life, pregnant and giving birth. Why and when should it be removed, what types of operational techniques exist?

Whether it is always necessary to remove the cyst of the bartholin gland

The cyst is a pathologically formed cavity of a more often round shape that has its own wall and inner contents. Similar formation is formed in the Bartholin gland for the following reasons:

• As a result of inflammation or edema of the tissues, the channel through which the secretion of the secretion of the gland occurs. As a result, liquid accumulates in a limited space, a cyst is formed.
• If there is a tumor of the external genitalia, then compression can occur without an inflammatory process.

Bartholin gland cyst is a benign formation, in the absence of complications it does not pose a particular threat to the life and health of a woman. Therefore, often, especially with small amounts of education, it does not even pay attention. Some people are lucky, and they all their lives, until very old age, may not know the problems with this.

In the following situations it is necessary to think about removing the bartholin gland cyst:

• If it inflames, and an abscess occurs. In this case, surgical treatment will be a necessary measure.
• If the cyst periodically inflames, but under the influence of local and antibacterial treatment.
• In the case when the formation of large sizes and brings discomfort, inconvenience to the girl in walking, physical activity, sex life, etc.
• If a woman has a tumor of small or large labia. In this case, a complex removal of external genital tissues is recommended.
• At the request of a woman, if she brings her psychological discomfort.

In the aforementioned states of the cyst, the Bartholin gland can bring more serious complications than simply inflammation. Although it also entails a decrease in the quality of life, loss of ability to work for a time.

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Treatment of bartholin gland cyst without surgery

Under certain circumstances, conservative cyst treatment is possible. But it is important to understand that this can only remove inflammation, pain, swelling of tissues, and education itself can only slightly decrease.

In rare cases, cysts can pass independently. This happens if the outflow of secret is spontaneously established.

The essence of the treatment of the Bartholin gland cyst is as follows. It is necessary to recreate the unhindered release of a viscous mucous secretion. This can be achieved by conservative measures, but more often it is necessary to carry out the operation. The purpose of the latter is the formation of an artificial canal or simply its opening with the subsequent free flow of secret. Sometimes they just remove the gland completely.

No operation can be dispensed with in the following cases:

• if an abscess has not yet occurred on the background of inflammation;
• in the "cold period", when the flow of the cyst is not complicated by anything.

Drug therapy

Drugs are used if there is inflammation. The goal of the treatment in this case is not to allow the abscess to form, when the operation can no longer be avoided. Medication therapy includes the following drugs:

• Antibiotics. Ideally, if their selection is taking into account the seeding of the bartholin gland separated from the canal or at least from the vagina. Most often, the primary purpose is carried out empirically, since more detailed examination takes time.
• Spasmolytic drugs, analgesic, anti-inflammatory. They can be used either inside or locally( for example, Vishnevsky ointment, Miramistin, etc.).
• It is useful to apply cold to the site of inflammation, and also to hold sessile baths with decoctions of medicinal herbs( chamomile, calendula, mint and others).
• It is possible to supplement the treatment with various physiotherapy procedures, for example, UHF, magnetotherapy and others. Inflammation will go away faster, and the risk of transition to an abscess is much less.

Folk remedies

All recipes of traditional medicine are also based on the removal of inflammation, edema of tissues and restoration of drainage of the formed cystic cavity. Also, funds are used to strengthen immunity in the fight against infection.

• Recipe 1. Take walnuts or hazelnuts 100 g, several large cloves of garlic, 50 g of dill seeds and pour it with 400 ml of liquid honey. Let it brew for 2 - 3 days and take 2 - 3 teaspoons several times a day.
• Recipe 2. Take nettle, yarrow, elderberry in equal amounts. Pour the resulting mixture 2 - 3 cups of boiling water and let it brew for about an hour. Use for sedentary baths and syringing.
• Recipe 3. Chamomile flowers and marigolds mixed and poured with hot water. Wait until the mixture is slightly cool and hold after that sessile baths. For the effect, you can add a bit of potassium permanganate.

Look at the video about the bartholin gland cyst:

Operation with bastolin gland

The most radical treatment can be achieved only with the use of various operational techniques. In each case, you should give preference to your method. The optimal option can be chosen only by a doctor.

Cyst excision or removal of the gland completely

Some doctors choose this particular method of treatment, considering that if the gland is removed, there will be no more problems. In fact, it's a little different. Yes, the woman will not have inflammation and education itself. But Bartholin gland is not a superfluous part in the body, it secretes a secret for lubricating the entrance to the vagina, including during sexual intercourse. As soon as all this is removed, the woman begins to experience discomfort, pain in intimate relationships and in general in everyday life.

Regarding the cyst outgrowth, the course of the operation and possible complications are similar, but still the volume and blood loss is slightly less. But, removing such an education, there is a high probability of relapse.

The essence of this operation is as follows:

• An incision is made over the formation from the labia majora.
• When the cyst is excavated, it is neatly separated from the surrounding tissues. It is desirable that it does not break. Otherwise, the contents can create additional complications for the subsequent healing, especially if the operation is performed during the formation of an abscess. But it is often difficult to keep the tissue from tearing even with very gentle handling.
• The cyst bed is sutured layer by layer. If necessary, additional hemostasis is performed - stopping bleeding.

Marsupialization of the bartholin gland cyst

This is one of the most optimal operations for the effective treatment and prevention of recurrent cysts. It is carried out both in the "cold" period, and during the formation of the abscess.

The progress of the operation is as follows:

• An incision is made over the cyst, its contents are deleted. You can also simply educate the education.
• Special seams are then applied in such a way that a new stroke is formed for the outflow of Bartholin gland secretion.

Sutures after the bartholin gland cyst: care rules

When cysts or marsupializations are removed, both the absorbent sutures and the subsequent removal can be applied. In the presence of inflammation, the latter is given preference. Recommendations are as follows:

• The first few days are possible swelling of the genital tissues. This causes pain, discomfort. To reduce the severity of symptoms it is useful to apply ice to the wound and sutures.
• In order for the postoperative area to heal well, it is necessary to carefully treat it. As a rule, the joints are lubricated with an antiseptic two or three times a day.
• If a turunda is installed, its daily replacement is performed.
• The laundry should not be squeezed or tugged. It should be made of natural fabrics, so that there is air access to the wound.

Restrictions after operation

Classically performed operations require long-term healing, at least 3 to 4 weeks. At this time, the following recommendations should be adhered to:

• The hygiene of the external genitalia should be carefully observed, and the wound treated according to the doctor's instructions.
• Avoid sexual intercourse until complete healing. Otherwise, during excitation, there will be an increase in secretion secretion, which can quickly lead to a relapse of the pathology.
• It is necessary to refuse for a while from visiting baths, saunas, hot baths, pools, reservoirs, etc.

Laser for treating cysts

Laser vaporization is one of the most effective methods with many advantages. However, not all clinics perform such treatment, since expensive equipment is needed for this.

In principle, laser radiation is a kind of surgical knife, so the basic principles are similar to classical operations. Important advantages:

• The high accuracy of the method allows not to affect healthy tissues.
• Laser radiation instantly cauterizes all blood vessels, nerve endings in the workplace, so the operation is bloodless and painless.
• The procedure takes only 5 - 10 minutes, does not require subsequent hospitalization and long-term healing.
• The risk of recurrence is minimal.

Puncture

Sometimes you can use only the cyst puncture. But this will help to remove the main symptoms rather than get rid of education.

Puncture is performed under local anesthesia, during it occurs the intake of the contents of the cyst. But there is a high probability that the episode of the disease will repeat, as the hole from the prick is tightened, and a closed cavity is formed again.

Piercing cysts

Some doctors sometimes prefer to do piercing cysts. The essence of the method is exactly the same as the puncture, but the hole under the ornaments remains constantly. This makes it possible to keep secrets all the time. But even these measures do not prevent a relapse of inflammation, therefore the technique is used extremely rarely.

Novelty from America Word-catheter

Word-catheter is a small rubber tube, the end of which can be inflated to a spherical state a few centimeters in diameter. This is how the product is fixed inside.

Through a small hole in the cyst, this catheter is installed, inflated and remains in this position for at least 6 to 8 weeks. During this time, a new output channel of the gland is formed. Subsequently, the catheter is removed.

The whole procedure takes about 10 minutes. But this treatment is carried out only outside of inflammation. The only restriction in this situation is abstinence from sexual intercourse for about a month. The catheter does not interfere with a woman to lead a normal life.

This is a popular technique in many countries, the frequency of recurrence of pathology is no more than 10%.

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The bartholin gland cyst is common among women of all ages. There are many methods of both operative and conservative treatment in different periods of the disease. The most suitable option in a particular situation can be selected only by a specialist. One of the optimal and modern treatments is the installation of a Word-catheter.