Bartholin's gland cyst treatment

Bartholin's gland cyst is formed by the obstruction of the Bartholin's gland duct and the accumulation of secretions. After the acute inflammation subsides, if the gland duct is blocked, the secretions cannot be discharged, and the pus gradually turns into clear liquid to form a cyst. Sometimes, the mucus in the gland cavity is thick or the congenital gland duct is narrow and the drainage is not smooth, which can also form a cyst. If there is a secondary infection, abscesses will form and recur repeatedly.

This disease mostly occurs in women of childbearing age. Smaller cysts can be observed regularly. Larger cysts and those with repeated acute attacks should be treated surgically.

1. Smaller Bartholin's gland cysts do not require surgery. Young women and children can use low-concentration potassium permanganate water to wash the genitals, take antibiotics, and follow up regularly. Larger cysts with obvious symptoms or recurrent pain and abscess formation should undergo incision and drainage surgery, which can maintain gland function after surgery. Now, Bartholin's gland cyst ostomy is often performed to replace the previous cyst removal method. This method is simple, with little damage and less bleeding, and can still preserve gland function. However, the stoma should be large enough. It is best to place a drainage strip after the stoma. The cyst cavity should be flushed once a day with hydrogen peroxide (hydrogen peroxide) or 2% iodoform for a total of 3 to 4 times to prevent adhesion closure after surgery and the formation of cysts again.

2. After surgery, use 1:5000 potassium permanganate solution for sitting bath, and preventive antibiotics or use 2% iodine solution and 0.5% metronidazole solution for alternating flushing. Use iodine gauze to pack, and change it every 2 to 3 days.

3. Other special treatments: With the development of technology in recent years, laser ostomy treatment has a high cure rate, no adverse reactions, simple operation, and short treatment time. Patients can be treated in outpatient clinics without suturing the wound or hospitalization. The high thermal effect of laser can cause tissue cells to coagulate and carbonize rapidly, and laser has an affinity for hemoglobin, so it has a good coagulation effect. During the operation, young women and children can use low-concentration potassium permanganate water to wash the genitals.