Bartholin gland cyst: picture, treatment without surgery

Bartholin gland cyst - a disease of the reproductive system organs, which is characterized by the appearance of abnormal benign growths round shape. From other tissue formation separated by dense connective capsule. Due to the blockage of ductless glands own secret cyst cavity contains a liquid.

This pathology complicates the natural outflow of the lubricant vestibule, there are unpleasant pain, dryness, discomfort during intercourse. Diseases of Bartholin's gland - a fairly common pathology in medical practice. In most cases, Bartholin gland cyst is diagnosed in young women aged 30-35 years.

What it is?

Cyst Bartholin gland - is delimited in rounded formation Bartholin gland filled her secret, which is formed after occlusion ductless glands. Bartholin's gland cysts are often found in the young, leading sexually active patients.

Among the reasons for their occurrence in the lead-specific infections, particularly gonorrhea, and non-specific inflammation caused by microbial associations. On both sides of Bartholin's gland cysts are rare.

What is Bartholin's gland?

Bartholin gland is paired organ, located within the vestibule. It is 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's gland is necessary for all women who live a regular sex life.

Causes of

The main reasons for the blockage of the output Bartholin gland duct may include:

• failure to comply with the basic rules of personal hygiene of genitals;
• gonokkokovuyu infection, trichomoniasis, chlamydia, ureaplasmosis, other infectious diseases of the urogenital system, are transmitted through sexual contact;
• penetration of the tissue gland opportunistic pathogens - Escherichia coli, streptococci and staphylococcal infections;
• traumatic gynecologic manipulations;
• urogenital candidiasis (thrush), mycoplasmosis;
• hysteroscopy, pregnancy termination.

The development of this disease and contribute to other negative factors:

• skin injury labia and vaginal wall, for example, during epilation.
• The weakening of the protective immune forces after suffering chronic diseases.
• Irregular, but too intense sexual intercourse, multiple intercourse.
• Long-term use of drugs - hormones, antibiotics.
• Long wearing tight underwear made of synthetic, not "breathable" fabrics. causing permanent mechanical irritation.

The risk group includes women who are promiscuous without the use of contraceptives. In rare cases, occlusion of the lumen of outputting Bartholin's glands can cause aggravated chronic infections, sluggishly flowing inflammatory processes in the body, seasonal illness - Flu, SARS, tonsillitis, inflammation of the sinuses, dental caries, periodontitis, gingivitis. The gland through "gates" infections, pathogenic mikrooorganizmy received by hematology, through the bloodstream. Partial blockage of the flow can be caused by frequent stress, hypothermia, immunodeficiency virus (HIV).

Signs and photos

Cyst Bartholin gland (see. photo) can begin with a small pea and reach 8 cm. If the cyst is small in size, the woman finds it quite by accident, high immunity to cope with their own illness. Not to be confused with a cyst mikropapillomatozom vestibule, which is characterized by pinkish rash on the external genitals, on both sides. Diagnosis begins with a gynecologist examination of the external genitalia and vagina.

When the disease bartholinitis, cyst has a rounded shape, a different size. It is under the lip of sexual, so one side is much larger because of the flowing of inflammation and tissue edema. Palpation determined circular, movable, elastic formation, with little pain. It can be located on one side only. The clinical manifestation of festering Bartolini different from the formed cysts.

The inflammatory process provokes the swelling and contraction ductless. When you click on a brush, negligible amount of pus. Bartholinitis main symptoms is a feeling of discomfort and slight pain.

It is not recommended to heat cyst or extrude pus, since the area has a large number of lymphatic vessels and good blood circulation. When heated, it spreads rapidly throughout the body and can begin sepsis. Timely care physician can help reduce inflammation, eliminate the infection and prevent its growth.

Diagnostics

cyst diagnosis presents no special difficulties. Diagnosis is based on clinical presentation of the disease, pelvic examination of the patient. For more accurate analysis can take the vaginal smear on the degree of purity and conduct microscopic examination of the contents of the cyst (to determine the pathogen).

Treatment of Bartholin gland cysts without surgery

The choice of treatment is mainly rests with the gynecologist, but in some cases may be agreed with the patient. If the brush size small, and it especially does not bring suffering, the treatment is conservative.

If the cyst is prone to frequent relapses, and she was tired of the constant struggle with it, then the doctor may suggest surgery. In accord with the patient's hand, cyst removed operative manner.

Here are the main ways to treat Bartholin gland cyst without surgery:

1. Cysts are small size often resolve on their own. This occurs due to the self-cleaning a blocked duct. When newly diagnosed a cyst the size of a small doctor may advise to watch her for a while (in the absence of other diseases).
2. As auxiliary therapies may be recommended hip baths with chamomile or potassium permanganate.
3. On the Brush can be applied bandage with ointment Vishnevsky or ihtiola.

Medicines used if there was inflammation. The goal of treatment in this case - not to form an abscess when operation is no longer avoidable. Drug therapy includes the following products:

1. Antispasmodic drugs, pain relievers, anti-inflammatory. They can be used both internally and topically (e.g., ointment Wisniewski, Miramistin etc.).
2. Antibiotics. Ideal if their selection takes place based on crop discharge from the Bartholin gland duct, or at least out of the vagina. Most often, the primary purpose is carried out empirically, as for a more detailed examination takes time.
3. One can supplement treatment of various fizioprotsedurami, e.g., UHF, and other magnetotherapy. Inflammation goes faster and the risk of transition to a much smaller abscess.
4. It is useful to put a chill on the site of inflammation, as well as to carry out hip baths with a decoction of herbs (chamomile, calendula, peppermint, etc.).

Several recipes of traditional medicine is also based on the removal of inflammation, tissue edema and restoring drainage formed cystic cavities. Funds are also used to strengthen the immune system in fighting infection.

1. It should take nettle, yarrow, elder in equal amounts. Pour the resulting mixture was 2 - 3 cups of boiling water and let stand for about an hour. Used to sit-baths and douches.
2. It should take walnuts or hazelnuts 100g, several large cloves of garlic, 50 g of dill seeds and fill it with 400 ml of liquid honey. Let stand for 2 - 3 days and take 2 - 3 teaspoons several times a day.
3. Chamomile flowers and marigold mix and pour hot water. Wait until the mixture cool a bit and then carry out a hip baths. For effect, you can add a little potassium permanganate.

Surgical removal of cysts

So-called marsupializatsiya Bartholin gland cysts is the most widely used method of surgical treatment. Its mission is to create an artificial excretory Bartholin gland duct. For the procedure does not require hospitalization, it may be performed on an outpatient basis, and the correct local anesthesia makes the whole process comfortable for the patient.

Cyst formation over the place becomes an oval incision, the cyst cavity is opened, its contents evacuated. After washing emptied the cyst cavity its edges are sutured to the mucosa labia, and the place cut a small hole remains - the external opening of the future of the output Bartholin gland duct. Qualified surgeon conducting the procedure does not require no more than half an hour, then the patient goes home.

What you need to know about surgical treatment Bartholinitis:

• The operation is called "marsupializatsiya Bartholin's glands" and includes the opening of the cavity, emptying pathological structures and suturing cystic walls to the wound edges to form a new channel.
• Another treatment method is to install a small incision through the word-thin silicone catheter. He remains in the body for about 5 weeks and prevents coalescing of the output of the channel walls. During this time, it formed and covered with new epithelium duct.
• Purulent abscess cavity is opened and treated with a disinfectant solution through the drain tube 5 - Day 6 is removed again accumulated pus. The operation is performed under general (most) or local anesthesia.
• Unfortunately, these operations do not provide complete assurance that relapses. If the outlet port gland continues to clog, surgical removal of cystic pathologies together with the gland and its excretory duct (extirpation).
• When diagnosing a Bartholin cyst in a pregnant patient puncture aspiration is performed.

Postoperative therapy involves the passage of physiotherapy (magnetotherapy, UHF, UFO) and immune reconstitution.

In the recovery period patients should be observed enhanced hygienic measures, to refrain from sexual intimacy, to eat properly. After healing, the wound opening is narrowed, and there is a new gland excretory duct.