He knows the importance of personal hygiene of the external genital organs. Careful hygiene is an excellent prevention of various diseases of the genital organs, wearing an infectious-inflammatory in nature, which include various vulvity and inflammation of the uterus and appendages. Often, in addition to the above diseases, the woman can be seen such pathology as a Bartholin gland cyst. The reasons for its development, there are many, and the prognosis is not always positive.
What is Bartholin gland?
Bartholin's gland is a paired organ, located in the vestibule. Located iron thicker at the base of the labia majora. Its size is 1, 5-2 cm in diameter. It also has ducts that open from the inside of the labia minora.
The main purpose of Bartholin's gland - a synthesis of greyish viscous fluid that acts as a lubricant and provides a more comfortable sexual intercourse. That is, from this we can conclude that the Bartholin gland is necessary for all women living a regular sexual life.
What is Bartholin gland cyst?
A cyst is a cavity, which is going Bartholin gland secretory liquid due to blockage of ductless. In the long course of the disease, as well as the accession of factors such as the weakening of immunity, secondary infection, a cyst tends to fester and to move into a more complex form - a Bartholin gland abscess.
What are the most common causes of Bartholin gland cyst?
As has been described above, Bartholin gland cyst is a result of blockage of ductless or its infection. Can contribute to this by the following factors:
- gonococcal infection;
- Chlamydia and ureaplasmosis;
- inadequate hygiene of genitals;
- thrush (candidiasis urogenital);
Clinical manifestations (symptoms) Bartholin gland cyst
Usually, the cyst appears as a rounded education in the labia majora, virtually painless. The size of cysts can range from the size of a small pea (peppercorns) to the size of a goose egg (8-12 centimeters). If the cyst is small, it rarely delivers patient inconvenience, so the doctor at this stage that is rarely accessed.
When the cyst grows to a large size, the patient feels pain during intercourse and walking.
If symptoms of suppuration Bartholin gland cyst following:
- increase in body temperature to 38-40 degrees;
- signs of intoxication (weakness, vomiting and nausea, lack of appetite).
cyst can reach 10 centimeters in diameter. At the same time a woman first feels the tingling, gradually developing into a strong throbbing pain. Going becomes impossible for the patient. If she could walk, he does so, his legs wide apart, to avoid being hurt painful place.
Suppuration of the cyst (abscess) can spontaneously become evident, accompanied by purulent discharge from the site of an autopsy. Since the main cause of festering cyst becomes infectious process, sexually transmitted, in this case, there are the following symptoms common to all of purulent diseases: endocervicitis, redness of the vulva and vagina, purulent vaginal discharge.
How to diagnose a Bartholin gland cyst?
Diagnosing cysts do not present any particular difficulties. Diagnosis is based on clinical picture of the disease, pelvic examination of the patient. For more accurate analysis can take a smear on the purity of the vagina and to hold microscopic examination of the contents of the cyst (to determine the causative agent).
Treatment of Bartholin gland cyst
The main goal of treatment of Bartholin gland cyst is to restore full operation gland that is renewed isolation gland secretory liquid to moisten the vagina, or in the future intimacy woman will deliver significant discomfort.
Today, the operation in the Bartholin gland cyst is the best method of treatment. Moreover, the difference in approaches to surgery significantly different. Previously, abscesses and cysts were opened by a cut and extract the contents of them, and then washed with cystic cavity. According to statistics, this method of treatment had only a temporary effect, and in most cases leads to a relapse of the disease, since the wall outlet port in most cases fused together.
The most advanced techniques of surgical treatment today is the introduction of a Word catheter. With this device the patient have a chance of a full recovery without the risk of recurrence. The essence of this operation in the Bartholin gland cyst guileless. Cystic area is opened, the contents removed, and the cystic cavity is washed, and then inserted into a Word catheter. At the end of the rubber tip of a catheter is present, which is inflated into the shape of a ball. With the introduction of the catheter into the cystic cavity of the tip is inflated to a small size, and leave for a certain period before the formation of the epithelial membrane. This usually occurs during the months during which a channel is formed for the passage of mucus, the walls of which are not fused.
The operation on the Bartholin gland cyst takes very little time. The first few days after surgery, the woman feels some discomfort. In addition, the doctors forbid certain time to be sexually active. More surgery has no complications, except that non-compliance with the rules of personal hygiene can occur infection.
If for some reason installation of the catheter is not possible, you can resort to the method marsupializatsii cysts. This operation is performed on an outpatient basis with local anesthesia and takes less than half an hour. First, the operational area of "frozen" in place of the largest bulging cyst makes a small incision. Next is a typical procedure for extracting the contents of the cysts and cystic cavity lavage. After this, the cyst wall is sutured to the shell labia.
Unfortunately, these techniques in our countries is not yet sufficiently widespread. In conventional clinics most common treatment for Bartholin gland cyst is its complete removal. Of course, this operation allows you to completely avoid the possibility of recurrence, but otherwise the patient is experiencing significant discomfort. Since iron is removed, during sexual intercourse occurs moistening of the vagina that causes discomfort. And that's not all the disadvantages of such an operation. Since the surgery is performed under local anesthesia, it takes a significant load on the heart. Furthermore, during operation may damage the external genitalia.