The Bartholin glands are located inferiorly on either side of vaginal opening:
Ducts open on sides of labial vestibule.
Obstruction of duct produces a usually painless cyst:
Swollen, painful labia
Tender, fluctuant mass on posterolateral margin of vestibule of vagina
Painful, unilateral labial swelling
Prompt incision and drainage using local anesthesia with patient in lithotomy position
Narcotic analgesia for patient comfort
Alternative approaches include:
Evidence of necrotizing infection
Do not mistake a nontender Bartholin cyst, which does not require immediate treatment, for an inflamed abscess.
Consider malignancy as an alternative cause of a mass, particularly i...
Bhide A, Nama V, Patel S, et al. Microbiology of cysts/abscesses of Bartholin's gland: Review of empirical antibiotic therapy against microbial culture. J Obstet Gynaecol. ...
098.0 Gonococcal infection (acute) of lower genitourinary tract
616.3 Abscess of Bartholin's gland
A54.02 Gonococcal vulvovaginitis, unspecified
N75.1 Abscess of Bartholin's gland
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