Introduction to drug treatment of Bartholinitis

Experts point out that in the early stage of Bartholinitis, 1:5000 potassium permanganate solution sitz bath, hot compress, oral metronidazole, and antibiotics are the main treatments. Patients with high fever should be given intravenous medication and supportive therapy should be paid attention to. Antibiotics can be selected based on drug sensitivity tests. After the abscess is formed, it is best to incise and drain the pus and add antibiotics. The following editor will introduce to you how to use drugs to treat Bartholinitis.

In the early stage of Bartholinitis, systemic antibiotics can be used for treatment. Since the incidence of Bartholinitis caused by gonococci has been increasing in recent years, it is best to squeeze the urethral opening before taking the medicine, or take cervical canal secretions for bacterial culture and do bacterial sensitivity tests. Before the results of the sensitivity test come out, choose antibiotics based on experience. Generally speaking, penicillin drugs have better efficacy. Local hot compresses or physical therapy can also be used according to the situation to promote the disappearance of inflammation. At the same time, the vulva should be kept clean and hygienic, and chemical fiber underwear should not be worn.

Once an abscess is formed, antibiotics alone are ineffective and drainage should be performed. The timing of the operation should be chosen when the fluctuation is most obvious. Generally, the incision is made below the inner side of the labia majora. The incision should not be too small so that all the pus can be completely drained out. After the pus is drained and the inflammation begins to subside, a sitz bath with 1/5000 potassium permanganate solution is performed.

There are two methods for treating Bartholin's gland cyst. One is cystectomy, which is to remove the cyst completely. However, due to the large trauma, it is now rarely used. Instead, cystostomy is used. The incision of the ostomy is chosen below the cyst to allow all the cystic fluid to flow out. At the same time, a drainage strip is used to prevent adhesion of the stoma. A 1/5000 potassium permanganate solution is used for sitz bath. The prognosis is generally good, and the function of the Bartholin's gland can also be well preserved.