Patient's question:
Hello!When I went to the hospital for a check-up today, I found out that I have a Bartholin's cyst. Surgery is scheduled for the 13th. Could you please tell me what I need to pay attention to before the surgery? For example, dietary aspects, or other considerations.
Additionally, I would like to know what causes Bartholin's cyst and what impact the surgery will have on me. What should I pay attention to in the future? Thank you!
Doctor's answer:
Any factor that obstructs the secretion of Bartholin's gland fluid, causing it to accumulate in the ducts and leading to cystic expansion of the gland, can result in Bartholin's gland cyst. Common factors include:(1) The presence of chronic inflammation blocks the Bartholin's gland ducts, hindering the smooth discharge of secretions, leading to cystic expansion of the gland and the formation of a cyst.
(2) After acute Bartholin's gland inflammation subsides, if the gland ducts remain obstructed, secretions cannot be expelled. Absorption of pus and gradual clarification of the liquid can then form a Bartholin's gland cyst.
(3) During childbirth, if the vagina or lateral perineal lacerations form scars, or if improper perineal lateral episiotomy damages the Bartholin's gland ducts, causing the duct openings to close, retained secretions can also lead to a Bartholin's gland cyst.
(4) Congenital narrowing of the Bartholin's gland ducts, or viscous secretions that impede the smooth discharge of Bartholin's gland fluid, can similarly result in cyst formation.
After the formation of a Bartholin's gland cyst, it can persist for a long time, developing slowly. Patients generally experience no discomfort, only noticing that one labia appears larger than the other. Gynecological examination reveals: swelling in the lower one-third of the affected labia, with a cystic texture, minimal tenderness, and the vaginal opening being pushed toward the healthy side.
When a Bartholin's gland cyst is complicated by infection, it can transform into a Bartholin's gland abscess. After the abscess subsides with medication, it may revert to a cyst as the pus is absorbed.
Since Bartholin's gland cysts can persist for years without change, if they do not interfere with daily life, regular observation may be sufficient, and treatment may not be necessary. However, if the cyst gradually grows or recurs with frequent infections and abscess formation, Bartholin's gland cystostomy can be performed. This procedure preserves the gland's function while...