What is the pathophysiology of bartholinitis?

Bartholin abscesses result from either primary gland infection or infected cyst. Patients with abscesses complain of acute, rapidly progressive vulvar pain. Studies have shown that these abscesses are usually polymicrobial and rarely attributable to sexually transmitted pathogens.

What is the purpose of the marsupialization?

Marsupialization is a surgical procedure used to treat Bartholin’s cysts. Bartholin’s glands are tiny organs on the labia near the vaginal opening. The glands help provide lubrication for sexual intercourse.

What organisms cause bartholinitis?

Most cases of bartholinitis have been thought to be caused by micro-organisms of the vaginal flora (such as Enterobacteriaceae, Enterococcus spp. or anaerobic bacteria). Neisseria gonorrhoeae and Chlamydia trachomatis are of limited aetiologic importance as causes of Bartholin’s duct abscess [4, 5].

What is marsupialization of Bartholin cyst?

Marsupialization involves opening the Bartholin cyst or abscess and then suturing the edges, thereby forming a permananent open pocket or pouch and allowing continued drainage.

Is Bartholin cyst cancerous?

Bartholin gland cancer A distinct mass (lump) on either side of the opening to the vagina can be the sign of a Bartholin gland carcinoma. More often, however, a lump in this area is from a Bartholin gland cyst, which is much more common (and is not a cancer).

Which antibiotic is best for Bartholin cyst?

Medication and antibiotics are used to treat Bartholin’s abscesses as the infection is mostly caused by pathogens. Antibiotic therapy may not be necessary for healthy women with uncomplicated abscesses. Antibiotic therapies include Ceftriaxone, Ciprofloxacin, Doxycycline and Azithromycin.

What happens if Bartholin gland is removed?

Removing the Bartholin’s gland You may need to stay in hospital for 2 or 3 days afterwards. Risks of this type of surgery include bleeding, bruising and infection of the wound. If the wound does become infected, this can usually be treated with antibiotics prescribed by your GP.

What causes Bartholin gland blockage?

Experts believe that the cause of a Bartholin’s cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps caused by infection or injury. A Bartholin’s cyst can become infected, forming an abscess.

Does Marsupialization of Bartholin cyst hurt?

It might take a few days for the pain and discomfort to go away. It might take a few days for the pain and discomfort to go away. You may resume the normal activities within 2-4 weeks. The physician might recommend painkillers and antibiotics for the first 24 hours after the surgery.