Bartholin cyst

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Overview 
Theory 
Diagnosis 
Management 
Follow up 
Resources 

Images and videos

Images

Bartholin cyst

Squamous cell cancer

From the personal collection of Colleen Kennedy Stockdale

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Bartholin cyst

Bartholin duct cyst at posterior labia minora, which crosses central portion of cyst with half of the enlargement medial and the other half lateral to this line

From the personal collection of Colleen Kennedy Stockdale

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Diagnosis Approach

Bartholin cyst

Marsupialization of a Bartholin cyst. The site is cleaned and anesthetized, and then a 1.5 to 2 cm incision is made just distal to the hymen ring within the introitus into the region of the normal duct opening. The cyst/abscess cavity is irrigated and loculations are broken down if necessary. The incised cyst/abscess wall is then approximated to the edge of the vestibular skin.

From the personal collection of Colleen Kennedy Stockdale; used with permission

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Management Approach

Bartholin cyst

Insertion of a Word catheter to treat a Bartholin’s cyst. The site is cleaned and anesthetized, and then a small stab incision (3 to 4 mm) is made into the cyst/abscess cavity (parallel to the hymen ring). The Word catheter is introduced into the cyst/abscess cavity after the contents have drained. The balloon is filled with sterile saline and a suture is tied around the catheter to prevent leaking or deflation. The catheter end is then tucked into the vagina.

From the personal collection of Colleen Kennedy Stockdale; used with permission

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