Bartholin'sglandcysts andabscessTheBartholin glands are paired glands approximately 0.5 cmindiameterand are foundinthelabiaminorain the 4-and 8-o'clockpositions.Typically, they are nonpalpable.Each gland secretes mucusinto a 2.5 cm duct.Thesetwo ducts emerge onto the vestibule at eitherside of thevaginal orifice, inferior to the hymen.Their function is tomaintain the moisture ofthe vaginalmucosa'svestibular surface
6 Bartholin’s gland cysts and abscess The Bartholin glands are paired glands approximately 0.5 cm in diameter and are found in the labia minora in the 4- and 8-o’clock positions.Typically, they are nonpalpable. Each gland secretes mucus into a 2.5 cm duct. These two ducts emerge onto the vestibule at either side of the vaginal orifice, inferior to the hymen. Their function is to maintain the moisture of the vaginal mucosa's vestibular surface
Bartholin abscess.福
7 Bartholin abscess
Patients typically have an exquisitely tender, fluctuant labial mass withsurrounding erythema and edema.Patients may have a painless,unilateral labial mass without signs of surrounding cellulitis.Bartholinabscesses are very rarely caused by sexually transmitted pathogensABartholin abscess is generally painful, and, thus, usually requiresincision and drainage.Patients with an abscess oftenfeelimmediatepain relief after the drainage procedure; however, they may require oralanalgesiaforseveral days aftertheprocedure
8 Patients typically have an exquisitely tender, fluctuant labial mass with surrounding erythema and edema. Patients may have a painless, unilateral labial mass without signs of surrounding cellulitis. Bartholin abscesses are very rarely caused by sexually transmitted pathogens. A Bartholin abscess is generally painful, and, thus, usually requires incision and drainage. Patients with an abscess often feel immediate pain relief after the drainage procedure; however, they may require oral analgesia for several days after the procedure
Clinical manifestationAcute onset of painSwellingTendernessAssociated cellulitis of vulvaDyspureuniaDifficulty walking
9 Clinical manifestation ❖ Acute onset of pain ❖ Swelling ❖ Tenderness ❖ Associated cellulitis of vulva ❖ Dyspureunia ❖ Difficulty walking
TreatmentDrainageAntibiotic therapyWarm sitaz bath
10 Treatment ❖ Drainage ❖ Antibiotic therapy ❖ Warm sitaz bath