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Bartholin's Cyst Treatment  

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Bartholin cyst occurs in the Bartholin gland located on both sides of the vaginal opening. The Bartholin gland secretes a fluid that comforts in lubricating the vagina. In the Bartholin cyst, sometimes the gland suffers from blockage which stops the fluid to flow to the vagina leading to the Bartholin cyst. Afterward, it results in difficulty in walking and sitting, painterly intimate, and fever. Bartholin cyst is a common problem among women as it is not rare. Sometimes it gets cured on their own but when the situation is severe, gland drainage needs to be done..

Other name – Bartholin’s duct cyst

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This procedure treats a Bartholin's cyst through incision and drainage. A Bartholin's cyst is a small fluid filled sac just inside the vagina. The cyst forms on the Bartholin's gland which is a gland that produces fluid that lubriates the vagina, when the glands become blocked. The cyst ranges in size and generally varies between the size of a pea, to the size of marble. If the Bartholin's cyst becomes infected, it is usually referred to as a Bartholin's abscess and generally requires drainage.

Symptoms of a Bartholin's cyst include discomfort when sitting, walking or having sexual intercourse, swelling, and the formation of a lump around the opening of the vagina. A Bartholin's cyst is usually harmless, but may need to be drained if it becomes painful or infected. 

Depending on the condition of the patient, the doctor may recommend any of the given treatment below –

  • Marsupialization – The procedure is done if the cyst occurs again and bothers the patient. Cyst is opened through a cut and the fluid is drained. A catheter may be placed to drain the fluid for few days, this helps prevent recurrence.
  • Needle aspiration – The fluid in the cyst is drained with a needle. Before drainage the cyst is filled with alcoholic solution to prevent the entry of bacteria.
  • Sitz baths – The doctor advises you to sit in a tub of warm water. This will help the small cysts rupture and drain.
  • Surgical drainage – If the cyst is large and infected it is drained by surgery. It is done under local anesthesia i.e the area of concern becomes numb. The surgical procedure used for drainage of large cyst is known as balloon catheter insertion.  A catheter is inserted into the cyst and then inflated. It remains inserted for few weeks so that the fluid is completely drained.
  • Antibiotics and pain killer may be recommended to reduce the symptoms and stop the infection.
  • Gland excision – If there is recurrence of the cyst and it does not respond to other treatments then Bartholin’s gland is removed completely.
  • Carbon dioxide laser – It is a highly focused laser, used to open and drain the cyst.

More permanent treatment options include balloon catheter insertion or marsupialization, both of which offer easy drainage to prevent the cyst from filling up with fluid. In some cases, the Bartholin's gland will be removed completely.

Overnight stay not required. Average length of stay abroad 2 - 3 days.

It is usually safe to fly afterwards, but depending on the type of procedure, there may be a follow up visit required - e.g. to remove a drainage catheter. 

Ahead of an appointment for treatment, most doctors will recommend attempting to treat the cyst using non-invasive methods, chiefly soaking in warm water (a sitz bath). If the issue persists, the doctor will explore other treatment options.,

There are a number of treatment options for a Bartholin's cyst. The doctor may perform a minor procedure at their practice whereby an incision is made in the cyst in which a catheter is inserted into and inflated. This procedure usually involves administering a local anesthetic or sedation.

The catheter remains in place for between 2 to 6 weeks as the fluid is drained from the cyst. Marsupialization is the cutting of the cyst and stitching the sides together in order to create a channel for the secretions to come through and to drain the fluid out.

If the cyst has become infected, then the patient may be prescribed with antibiotics, particularly if it has not drained properly.

Anesthesia Local anesthetic. Procedure duration The Bartholin's Cyst Treatment takes 30 to 60 minutes. A catheter may be inserted into the cyst to drain it or the cyst may be cut drained and stitched.,

Post procedure care The doctor may recommend soaking the cyst in warm water several times a day. If there is a catheter inserted, patients should avoid sexual intercourse until it is removed.

If the cyst is opened up with marsupialization, it may be advised to avoid sexual intercourse for 4 weeks.

Possible discomfort Some mild discomfort is possible.,

Bartholin's Cyst Treatment FAQs

Some women are predisposed to Bartholin’s cyst. Other causes may be – injury in the vulvar area of vagina, sexually transmitted infections and bacterial infections.

Small Bartholin’s cyst causes minor irritation and but when it takes the form of abscess it causes symptoms such as – • Fever and chills • Swelling and tenderness • Pain during walking, sitting, sexual intercourse • Drainage from the cyst • Redness

Consult a doctor if you have a painful lump on the sides of labia which does not resolve in few days.

Bartholin’s cyst is diagnosed with a physical examination. If there is a discharge the healthcare provider checks the fluid for sexually transmitted infections or bacterial infections.

The cyst may disappear in few days with or without treatment.

Untreated Bartholin’s gland can spread to other organs in the body and may cause septicemia.

Bartholin’s cyst is a fluid filled swelling. When the fluid gets infected and forms a puss, it is called Bartholin’s abscess.

When Bartholin’s cyst becomes infected it turns into abscess. The situation becomes dangerous if not treated on time. As the infection may spread throughout the body.

You need to consult a gynecologist for treatment of Bartholin’s cyst.

Hospitals for Bartholin's Cyst Treatment
BLK-MAX Super Specialty Hospital
WALK AGAIN Center
Bayindir Hospital Kavaklidere
Primus Super Specialty Hospital
Nanoori hospital
Apollo Gleneagles Hospital
Rockland Hospital, Manesar, Gurgaon
Fortis Hospital, Noida
Sir Ganga Ram Hospital
Bumrungrad International Hospital

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