Bartholin gland cyst removal is a complete surgical procedure that can be carried out not only according to plan, but also on an emergency basis. Disease of the genital organ brings inconvenience and pain not only during intimacy, but also during active sports, prolonged sitting in a sitting position or just walking when running.
From a physiological point of view, a cyst is a cavity that was formed in an unnatural way. In clinical practice, the neoplasm does not have strictly delineated dimensions, ranging from a small pea to the actual diameter of the chicken egg. The main content is a liquid substance, which is the product of the work of the Bartholin gland itself.
Instead of secreting a sufficient amount during sexual contact, acting as a lubricant of natural origin, the duct of the excretory format is blocked. Biological fluid begins to accumulate instead of being released into the external environment and retreat quite naturally.
Numerous reviews of the women who underwent the operation confirm the fact that the painful sensations are a companion of victims of a cyst, even of a small size. Some short-sighted patients try to cope with the problem on their own, using lotions, compresses, or other recipes of traditional medicine. But to get rid of a cyst without the involvement of a scalpel or a laser will not work out definitively, it will only be possible to delay the inevitable, having suffered before an extensive inflammatory process.
It is not always the cavity with the problematic fluid makes itself felt immediately after birth. If the stage of suppuration has not yet arrived, then the girl may feel in the intimate area just a bump or unusual puffiness. But since suppuration sometimes develops in a matter of days or even hours, it is better to immediately make an appointment with a gynecologist rather than wait for the worst possible course of events.
As soon as the immune system begins to weaken, it will be talking about starting a secondary infection. The cavity with biological material will be filled with purulent formations, raising the temperature of the body, and also signaling a sharp deterioration of the situation with other signs. When the suppuration mechanism starts, the woman will already face a Bartholin gland abscess, which in the medical classification indicates a complicated form of the disease.
The fact that the patient has a high chance of encountering a cyst in a short period of time is evidenced by several indirect factors. They are not one hundred percent precursors of collecting a secret in an educated cavity, but they are called aspects of increased risk. The list includes the following diseases:
- gonococcal infection;
- urogenital candidiasis, which is popularly called simply thrush;
Another item at risk is poor hygiene of the genitals. It is this nuance that expands the range of potential patients, since even teenage girls can become victims of cysts.
It is not necessary that after finding even a large cyst, the victim will be redirected to the oncology center. As soon as it is confirmed that the neoplasm does not wear oncological deposits, there is no need to worry. In the planned conduct of surgical intervention, ancillary tests and other examination options are additionally required if necessary. Only after the doctor is convinced that the surgery is the optimal solution will a cyst be removed.
Moreover, various clinics offer their basic services package for a given question. Today, most private medical centers use laser removal of an overgrown cavity, which has an internal capsule with prolonged delay of treatment. The radio wave treatment, which is less traumatic than the classical scalpel procedure, has successfully proved itself.
The ladies, who have been manipulated, point out that modern technologies not only provide for less pain, but also guarantee a more aesthetic final result without losing the sensitivity of part of the genitals. Also innovative techniques guarantee a reduced postoperative period, which will appeal to those victims who can not leave work for a long time.
The price of the operation depends on what format of the excision was chosen, as well as the type of anesthesia, the included preliminary examination, and consultation services for the period after removal. The cost also varies depending on the reputation of the selected medical center and the qualifications of the gynecologist-surgeon.
Signs of the formation of a problem cavity are most clearly seen in the area of the gland itself. If the cyst is still small, then it does not cause significant discomfort even when having sex. But at the stage of suppuration, it can grow literally before our eyes.
The most characteristic symptoms of that it is necessary to immediately contact the attending gynecologist are:
- swollen labia;
- rounded bump of any size;
- soreness during movement or prolonged stay in a fixed sitting position.
Things get worse when the Bartholin gland becomes susceptible to infection, which leads to the rapid development of Bartholinitis. Such a turn becomes possible if pathogenic microorganisms that have a negative effect on the vaginal microflora and external genital organs have already fallen into the already sick zone.
- E. coli.
When a cyst becomes infected, starting to collect pus, the labia swell up several times, and if you feel the area that is not aesthetically pleasing, the victim experiences acute pain. Walking, even slowly, becomes almost impossible. Some patients note that in the supine position, things get even worse.
The appearance of an abscess is accompanied by a sharp increase in temperature by several degrees simultaneously with a rapid increase in the cyst up to eight centimeters in diameter.
At the final stage, there is a high percentage probability of self-opening of the lesion with accumulated secret and purulent accumulations. Such an outcome threatens with possible infection of the nearest organs and tissues, so in emergency situations the patient can even be hospitalized at an ambulance in intensive care.
When the operation is relevant
It is often found stories of women who suffer from chronic inflammation of the Bartholin gland, experiencing periodic remission. They use dubious means to neutralize pain in the intimate area, affecting the decline of inflammation. This leads to a decrease in the "ball", but in fact it does not neutralize the cyst itself, provoking it to the accumulation of pus.
With constant inflammation of the glandular vestibule, which also covers the duct of the generator of the sexual secret, non-specific opportunistic microorganisms enter the tissues and cells of the organ. Usually by this time the body loses its natural protection in the form of immunity, it is the key to a general deterioration of the resistance of a weakened organism.
In addition to summaries of standard causes that induce the gland to trigger a negative health-affecting mechanism, doctors also identify several atypical prerequisites. Among them, most often the source of the disease is trauma to the epidermis, which occurs as a result of:
- constant irritation of the skin;
- wearing tight linen;
- epilation deep bikini area.
Equally dangerous is the abortion of pregnancy surgically. It is often accompanied by classical bartholinitis, which is then able to provoke a cyst on the other side of the gland.
Medicine has known cases when a cavity with a secret begins to interfere with normal life activity after a recent sexual intercourse, which has proved too traumatic for a woman.
To get rid of unpleasant sensations, as well as risks in the future to face more serious manifestations of abnormalities such as abscesses with pus, the representatives of the weaker sex show removal of a cyst. The underlying indications for the procedure are:
- swelling of the labia minora;
- inflammation that already goes into suppuration;
- feeling of pressure on the external genitals.
The distinctive advantage of an intervention is the ability to carry it out immediately, immediately on the day of treatment, if such a need is considered urgent. Only a doctor on the spot after a carefully performed examination can tell whether it is worthwhile to postpone the procedure for another day in order to have time to pass tests and conduct an allergic test for preparations from the anesthesia complex.
But if the cyst has already reached an impressive size, causing inconvenience and pain to the victim, then it is better to outrun the opening of the cavity in a natural way. The doctor removes the Bartholin gland entirely, simultaneously assigning a complex of antibiotics.
Some clinics still offer visitors far from medicine to use the drainage system. But from a practical point of view, the scheme has more disadvantages than advantages. She implies frequent relapses, which leads to repeated treatment in the hospital, forcing the young lady to go through all the pain of healing again.
The meaning of drainage is based on the overlapping of the duct with a special catheter, which is then dismantled only after complete healing with epithelization.
Classification of operations
Get rid of the cyst will turn out in several ways. And often they both rely on local anesthesia. The contraindication here is perhaps increased morbidity, which automatically indicates the need to use general anesthesia. But for the most part women prefer to endure rather than subjecting the cardiovascular system to increased stress during general anesthesia. The last word remains for the surgeon.
Schematically, all approaches to getting rid of the cavity with a secret are divided into:
But sometimes it is impossible to cope with gentle ways. If there are serious complications, it will be more productive to remove the entire organ. Together with the gland, the doctor removes the duct. Since the technique has several side effects such as the lack of release of grease, it is rarely practiced only in matters of saving the life of the patient.
Most often, patients are treated with marsupialization. The measure copes well in situations where the victim is faced with regular relapses. Surgical intervention is based on the formation of a duct with a hole.
Marsupialization is necessary for the further restoration of the patency of the excretory duct in order to effectively adjust the functionality of the gland in the future. It also aims to eliminate the possible post-inflammatory effects that lead to the formation of abscesses in the cyst cavity.
When operating a place that appears to be the most swollen, a cut is made on the mucous membrane. Identical action is performed on the cyst. After that, the cavity is rinsed with special solutions, in order to sew the cyst membrane later on to the area of the labia mucosa. Such scrupulousness is the key to the construction of a new excretory duct.
Some gynecologists under the guise of classical marsupialization carry out an autopsy of the cyst without any additional measures. This means that the contents are cleaned, and then the washing is prescribed. The epithelium simply does not have time to take a protective film.
Experienced experts insist that it is not only harmful, it also almost always leads to a repetition of the picture: the duct is blocked; the cyst will grow again.
It is much more effective to install a catheter that contains a bubble inside. It is designed to stand for several weeks, which is enough to form a bypass channel with minimal chances of relapse even after several years.
For all of the above, local anesthesia is important. And if at the end of the procedure, the woman feels fine, then she is not kept in the hospital, but sent home. Mandatory precaution here is the refusal of sexual contact for at least a month.
Much more difficult in terms of technology is the exfoliation of the Bartholin gland cyst. First, the surgeon makes an incision that is directed from the small lip. To make an incision in the reverse order is a rather dangerous undertaking, since the mucous membrane in this part of the body is especially sensitive. The entrance to the vagina, which is lined just by the mucous layer, is rapidly thinning due to the negative impact of the disease. With a proper cut, the edges of the edges diverge by only a couple of millimeters.
Next, the algorithm for carrying out the shelling is stored as follows:
- The cut tissue is removed with Pean clamps and gauze pads.
- Content is squeezed out carefully.
- The risk of cyst rupture is monitored, which is easy to do when monitoring the situation, accurate cutting and preservation of a single pace of operation.
If, however, reduce the set rate, then the probability of contamination of the open wound surface increases significantly. The final stage involves the seams, which are superimposed in the amount of two pieces.
It is extremely important to pay attention to the fact that the victim loses a lot of blood when they heal, so it is important to constantly monitor the situation. To reduce the load, it is enough to simply bandage the branches that weaken from hemorrhage. For venous wounds are used harnesses, which are required to completely block the bed.
After applying the harnesses, it will be necessary to remove the immersed seams, and at the very end, Peana clamps are removed. It will remain to wait for the retraction of the epidermis, so that the wound is reduced.
The doctor secures the incisions and the wound itself with vicryl.
It should prepare for a rather long rehabilitation period. In addition to the standard swelling of the vulva will have to accept the fact that the external genitals surround hematoma. Possible pain and slight discharge.
In the future, you will need to adhere to preventive measures to prevent repetition. It is a question of the general increase of immunity, and also about the doubled forces, thrown on personal hygiene.