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Removal is sometimes recommended in those older than 40 to ensure cancer is not present. [3] Antibiotics are not generally needed to treat a Bartholin's cyst. [3] The cause of a Bartholin's cyst is unknown. [4] An abscess results from a bacterial infection, but it is not usually a sexually transmitted infection (STI). [7] Rarely, gonorrhea may ...
Vaginal cysts are often discovered during a routine pelvic exam or pap smear. [10] [9] Cysts are also discovered during a bimanual exam. [15] Other structures that resemble vaginal cysts are connective tissue tumors, hematocolpos, and hymenal atresia. [15] The absence of vaginal rugae over the cyst is a clue to their presence. [3]
About 2% of women will have a Bartholin's cyst at some point in their lifetime. Bartholin's cysts are fluid-filled lumps near the vaginal opening. Here's what women need to know about them.
It is possible for the Bartholin's glands to become blocked and inflamed resulting in pain. [14] This is known as bartholinitis or a Bartholin's cyst. [9] [16] [17] A Bartholin's cyst in turn can become infected and form an abscess. Adenocarcinoma of the gland is rare and benign tumors and hyperplasia are even more rare. [18]
Marsupialization is the surgical technique of cutting a slit into an abscess or cyst and suturing the edges of the slit to form a continuous surface from the exterior surface to the interior surface of the cyst or abscess. Sutured in this fashion, the site remains open and can drain freely.
A cyst is related to an abscess, but it contains a material other than pus, and a cyst has a clearly defined wall. Abscesses can also form internally on internal organs and after surgery. They are usually caused by a bacterial infection. [10] Often many different types of bacteria are involved in a single infection. [8]
Bartholin gland carcinoma is a type of cancer of the vulva arising in the Bartholin gland. [2] It typically presents with a painless mass at one side of the vaginal opening in a female of middle-age and older, and can appear similar to a Bartholin cyst . [ 2 ]
Examination of the vulva is part of the gynecologic evaluation and should include a thorough inspection of the perineum, including areas around the clitoris and urethra, and palpation of the Bartholin's glands. [21] The exam may reveal an ulceration, lump or mass in the vulvar region. Any suspicious lesions need to be sampled, or biopsied.