Patient's question:
On February 17, 2010, acute Bartholin's cyst, admitted to the hospital for surgical treatment, swelling and pain with continuous fever.On April 24, 2010, recurrence, no fever, swelling increased to about 2-3 cm within 3 days, had not yet gone to the hospital for surgery. After the abscess ruptured on its own, went to the hospital for 5 days of intravenous antibiotics, and 4 days of potassium permanganate sitz baths, then discharged. Thank you.
Doctor's answer:
The Bartholin's glands are responsible for secreting mucus to lubricate the vagina. They originally have their own openings, but if inflammation or debris blocks the mucus from being expelled, the glands can swell and form Bartholin's gland cysts. If the swelling is severe, it may rupture on its own, releasing pus and then healing. However, the self-healed wound will close, leading to recurrence of swelling.Recommendation: Currently, the puncture tube fistulostomy technique is widely used. It is minimally invasive, involves less bleeding, and can still be performed even if there is superficial infection of the abscess. This method preserves the physiological function of the Bartholin's glands and maintains the normal shape of the vulva. After 14 days of postoperative swelling, the soft tube is removed, and the fistula appears without hard nodules or scars.