Patient's question:
A recurrence once, very painful, each time it recurs can only lie in bed. Originally wanted to do a stoma surgery, but after searching online, many netizens suggested not to do it. Because after doing it, the recurrence rate is higher. But I can't stand it now, want to try surgery. Then, when is this surgery usually performed?Doctor's answer:
Since this cyst can persist for a long time, remaining unchanged for years, regular observation is sufficient without the need for treatment. If the cyst gradually grows and affects daily life, or if it repeatedly becomes infected, frequently forming abscesses, a Bartholin gland cystostomy can be performed. This method is simple, minimally invasive, and preserves the function of the gland. However, the stoma should be large enough, and after the procedure, it is best to place a drain. A 3% hydrogen peroxide or 2% povidone-iodine solution should be used to flush the area once a day, for a total of 3 to 4 times, to prevent postoperative adhesion and closure, which could lead to the formation of a cyst again. Once an abscess forms, it should be drained by incision.In recent years, CO2 laser cystostomy has been adopted for treatment. This method has a high success rate, no adverse reactions, simple operation, short treatment time, no need for wound sutureing, and patients can be treated on an outpatient basis.