Chapter 229 Bartholin’s Gland Cyst/Abscess Drainage
DESCRIPTION
Bartholin’s gland cyst/abscess drainage is acute drainage of symptomatic cystic dilation of the Bartholin gland.
INDICATIONS
Symptomatic cystic dilation or abscess of the Bartholin gland. Asymptomatic cysts in women younger than age 40 do not need treatment. (In patients older than age 40, biopsy is indicated.) Mild Bartholin’s gland infections may also be treated with broad-spectrum antibiotics and frequent warm sitz baths.
CONTRAINDICATIONS
Incomplete evaluation of the vulvar lesion, bleeding diathesis, known or suspected allergy to agents used (e.g., latex, iodine).
REQUIRED EQUIPMENT
• Skin preparation materials (alcohol, iodine- or hexachlorophene-based antibacterial solution [e.g., Betadine, Hibiclens])
• 1% lidocaine without epinephrine, 5-cc syringe, 22-gauge needle, analgesic skin-cooling spray or other topical analgesic
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