What is Bartholin Cyst Excision?
Bartholin cyst excision is a surgical procedure to remove a cyst formed in the Bartholin gland, which is located on either side of the vaginal opening.
The Bartholin glands produce fluid that helps lubricate the vagina. When the duct of these glands becomes blocked, fluid accumulates, forming a cyst. If it becomes infected, it can turn into an abscess causing pain and discomfort. Excision involves removing the entire cyst or gland to prevent recurrence and relieve symptoms.
Symptoms of Bartholin Cyst
- A painless lump near the vaginal opening (if uninfected)
- Swelling on one side of the vaginal area
- Pain and discomfort while walking, sitting, or having sexual intercourse (if infected)
- Redness and tenderness near the cyst
- Fever and pus discharge in case of an abscess
Procedure or Treatment
Bartholin cyst excision is performed under local or general anaesthesia depending on cyst size and infection status. The steps include:
- Anaesthesia to ensure comfort.
- A small incision is made to remove the cyst or gland completely.
- The area may be sutured or packed with gauze to aid healing and prevent fluid accumulation.
- Patients are usually discharged the same day with post-operative care instructions, including pain management, hygiene, and antibiotic course if needed.
Alternative treatments before excision include sitz baths, antibiotics (for infection), or marsupialisation, where a small incision is made, and the cyst wall is stitched to form a permanent opening for drainage. However, in recurrent or severe cases, excision is preferred.
Prevention
While it may not always be possible to prevent Bartholin cysts, the following measures may help:
- Maintaining proper intimate hygiene
- Using protection during sexual activity to reduce infection risk
- Regular gynaecological check-ups if prone to cysts
- Avoiding irritants like harsh soaps or chemicals in the genital area
Benefits of Bartholin Cyst Excision
- Permanent removal reduces the chances of recurrence
- Provides relief from pain and discomfort
- Prevents repeated infections or abscess formation
- Enhances daily comfort and sexual health
- Improves confidence and quality of life
Types of Bartholin Cyst Surgery
- Incision and Drainage: Minor procedure for temporary relief in infected cysts.
- Marsupialisation: Creating a permanent drainage opening by suturing cyst edges.
- Word Catheter Placement: Insertion of a small catheter to keep the duct open for weeks.
- Bartholin Cyst Excision (Complete Removal): Removal of the entire cyst or gland, usually for recurrent or symptomatic cysts.