Will the removal of the vestibular gland affect the couple's life?

Will the removal of the Bartholin's gland affect the sex life of the couple? Nowadays, the surgery of the Bartholin's gland is generally ostomy, which will not remove or block the gland completely, but will still retain the function of the gland and will not affect the sex life. If your surgeon removes the gland, it may have some impact on the sex life. The following editor will introduce you to the ostomy in detail.

Surgical procedure:

1. Incision

The labia minora is everted, and a longitudinal incision is made at the junction of the skin and mucosa outside the root of the hymen from the weak part of the cyst protrusion. The length depends on the size of the cyst, generally 0.5 to 1 cm from the upper and lower ends of the cyst. The mucosa and cyst wall are cut open. The contents are discharged (if it is pus, bacterial culture is required), and the cyst cavity is flushed with normal saline.

2. Suture

Lift the edge with forceps and turn it outward, so that the surrounding mucosal incision edges are aligned, and use 2-0 chromic gut or 4-0 silk thread for interrupted sutures. The turned-up cyst wall completely covers the vaginal vestibule mucosal wound edge, and a new glandular duct opening is formed in the center of the stoma to prevent the glandular duct opening from closing again. Vaseline or saline gauze is placed in the wound cavity for drainage, and the wound is covered with sterile gauze (if it is an abscess, no suture is required).

3. Comparison with conventional electrosurgical knife or ring electrode resection

Using an ordinary electric knife or a ring electrode (EEP) to partially remove the cyst wall at the junction of the skin and mucosa can also achieve a similar effect. In comparison, this method causes less bleeding, shortens the operation time, and allows for smoother drainage.

Postoperative care

The following treatments are done after Bartholin's gland cystostomy:

1. You can go home to rest and move around freely.

2. Remove the drainage gauze 24 hours after the operation.

3. Keep the vulva clean, and take a warm water bath twice a day for 20 minutes each time. After defecation, take a bath with 1/5000 furacilin solution or 1/5000 potassium permanganate solution and then change the dressing.

4. For those who have undergone silk sutures, the sutures should be removed one week after the operation. Follow-up should be conducted once a week thereafter, and forceps should be used to explore the cavity to maintain patency and prevent the stoma from re-closing. This should be done 4 to 6 times in total.