Patient's question:
Previous laboratory test results: Bartholin's gland cyst 32cmDoctor's answer:
Vaginal Gartner's cyst: It is formed due to obstruction of the Bartholin's glands duct, leading to the accumulation of secretions. After the resolution of acute inflammation, duct blockage prevents the secretion from being expelled, gradually transforming purulent fluid into clear liquid to form a cyst. Sometimes, thick mucus within the glandular cavity or congenital duct stenosis can also result in poor drainage and cyst formation. If secondary infection occurs, it may develop into an abscess with recurrent episodes. Due to the risk of secondary infection, surgical treatment should be pursued. In the past, cyst excision was commonly performed, but it often carried the possibility of bleeding. If the cyst wall extends near the urethra, surgical operation may be difficult, or the cyst wall may not be completely removed, leading to recurrence. Severe scarring can cause difficulties during intercourse, so currently, cyst excision is only used for suspected malignant lesions. Cystoplasty (pouch suture) has been proven through years of practice to be a simple, safe method with few complications and a low recurrence rate while preserving glandular function. It can also be applied to Bartholin's gland abscess.