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Uptodate Reference Title
Bartholin gland abscess: Management of recurrence
Bartholin gland abscess: Management of recurrence
Patients with a recurrent Bartholin cyst are managed with expectant management or I&D with or without Word catheter placement. If the cyst becomes infected, they are managed as above. While most Bartholin masses are cysts or abscesses, Bartholin gland benign tumors and carcinomas can occur. Thus, biopsy should be performed for a mass of any size if any of the following are present: solid component, wall that is fixed to surrounding tissues, mass that is persistent (ie, unresponsive or worsening) despite treatment, patient is postmenopausal.
I&D: incision and drainage.
* Antibiotic therapy should provide adequate coverage for staphylococcal (including methicillin-resistant Staphylococcus aureus) and streptococcal species and enteric gram-negative aerobes, specifically Escherichia coli. If positive for gonorrhea or chlamydia, include appropriate pathogen-directed antibiotics. Options for antimicrobial therapy are provided in related UpToDate content.
¶ Complete resolution of a Bartholin gland abscess typically occurs within four weeks.
Δ Gland excision carries a high risk of complications, including excessive bleeding, hematoma formation, cellulitis, scarring, disfigurement, and dyspareunia.
