Bartholin gland cyst: manifesting symptoms and methods of therapy

Bartholin gland cyst – it is a rounded benign formation, rarely degenerates into an oncoprocess, but is prone to relapse. Most often, the disease is common among women from 30 to 35 years. The disease does not have a pronounced genetic predisposition, does not interfere with pregnancy, does not distort the development of the fetus and the hormonal background of a woman. Sometimes large cysts of the Bartholin gland are recorded, tumor-like formations in size reach up to 8 cm in diameter. The growth of the cystic cavity occurs as the secretion accumulates and its walls overstretch. On estet-portal.com read about the causes of Bartholin's cysts and the main methods of treating the disease.

• Bartholin gland cyst: causes and specifics of formation
• Clinical manifestation and specific features of a Bartholin's cyst
• Management of a patient with a Bartholin's cyst
• Methods of conservative treatment of Bartholin jellyss

Bartholin gland cyst: causes and specifics of formation

The cyst of the Bartholin gland is infected with specific (gonococci, chlamydia, trichomonas, ureaplasma) and non-specific (E. coli, streptococci, staphylococci) flora. Some manipulations of a medical (abortion, hysteroscopy) and non-medical (epilation of the intimate zone, features of sex, the use of certain types of sex toys) injure the skin and mucous membranes. Places of violation of the integrity of the epidermis become the entrance gate for infection.

The development of a Bartholin's cyst is affected by insufficient and/or non-daily hygiene, improper washing technique, wearing tight clothing and underwear made of synthetic fabrics.

Significantly increases the risk of developing the disease:

Promiscuity and promiscuity in sexual life.
Weakened immunity as a result of frequent stress, heavy physical exertion, poor nutrition.
Acute and chronic pathologies of the reproductive system (bacterial vaginosis, cervicitis, adnexitis, endometritis) and general ailments (caries, tonsillitis and pyelonephritis of various origins).
Immunodeficiency conditions.
Dozens of diseases due to disruption of the endocrine system, such as diabetes.
Lubricants. Their textures "thrombose" excretory ducts of Bartholin's gland.

With the development of infection on the surface of the labia minora, inflammation of the tissues begins, capturing the mouths of the ducts. Edema, the process of inflammation, the presence of foreign chemical compounds clog the outlet, which stops the elimination of the secret. Bartholin's

gland works "into itself", gradually accumulating what it normally brings out on its own.

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Clinical manifestation and specific features of a Bartholin's cyst

The size of a Bartholin's gland cyst varies from the small size of a pea to a large chicken egg. With an increase in the volume of the tumor, the woman's discomfort increases and the risk of additional injury increases.

There is pain when walking and friction during intimacy. With complete stenosis of the excretory duct and / or the attachment of infectious agents, a purulent process occurs, up to an abscess of the Bartholin gland. Then the following pronounced symptoms manifest:

pain syndrome increases;
symptoms of intoxication appear.

During a gynecological examination, there is:

edema and hyperemia of the labia;
palpable dense roller with localization in the affected area;
movable seal, not soldered to the epidermis;
The entrance to the vagina is unilaterally displaced.

Often, the inflammatory process displaces the gland itself, forming a false abscess. The false abscess is opened, evacuating the purulent contents of the cyst. After self-resolution, epithelialization of tissues occurs, the symptoms of the disease subside and a slow recovery.

But, this is not always the case, because the chronization of the inflammatory focus and its transition to a sluggish form of the disease – frequent

consequences of false abscesses. The formation of a true abscess at the site of the cyst of the Bartholin gland greatly complicates the course of the disease. Education reaches a huge size, pain and symptoms of intoxication prevail. This condition requires the immediate start of treatment, which is carried out based on the degree of neglect of the pathology that has arisen.

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Management of a patient with a Bartholin's cyst

Many doctors advise against treating small cysts unless they cause discomfort. For the treatment of medium-sized formations, a simple opening is used – sterile instruments dissect the outer surface, evacuating the internal contents of the cavity, which is thoroughly washed with an antiseptic solution. As a rule, such a method of surgical intervention leads to a regression of the inflammatory process and a cure for the disease.

If a recurrence occurs, or in the presence of large neoplasms, after dissection of the cystic formation, a

Word catheter is applied. A ball is provided at its end to prevent the device from falling out of the cavity of the Bartholin gland cyst.

The cavity is flushed through the cannula of the Word catheter for 6 weeks, after which the device is removed. This type of surgical treatment is suitable for

recurrent lesions, the risk of recurrence drops to 10% of all cases of the prevalence of pathology.

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Methods of conservative treatment of Bartholin's gland

Conservative treatment is appropriate when the mass has reached

small size. In the "cold" period, it is shown to minimize physical activity, apply cold to the perineal area, do sitz baths with antiseptics.

For conservative treatment of Bartholin gland cysts, applications with levomekol are indicated, – with ichthyol.

Immunomodulators, desensitizing drugs, antibiotics, non-steroidal anti-inflammatory drugs, physiotherapy procedures – these are methods to cope with the disease without resorting to surgical intervention.

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