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For further information, see CMDT Part 20-13: Bartholin Duct Cysts & Abscesses

KEY FEATURES

  • The Bartholin glands are located bilaterally at 4 and 8 o’clock in the vulvar vestibule; they provide lubrication to the vagina through a duct 2.5 cm long

CLINICAL FINDINGS

  • Obstruction of the Bartholin duct can lead to pain, swelling, and the formation of cysts and abscesses

DIAGNOSIS

  • Pus or secretions from the gland should be tested for gonorrhea, Chlamydia, and other pathogens

TREATMENT

  • Treat according to culture results

  • Frequent warm soaks may be helpful

  • Abscesses or cysts that are symptomatic should undergo incision and drainage with additional efforts to keep the drainage tract open (eg, Word catheter or marsupialization)

  • Marsupialization should be considered for recurrence

  • Antibiotics are unnecessary unless cellulitis is present

  • In women under 40 years of age, asymptomatic cysts do not require therapy

  • In women over age 40, biopsy or removal are recommended to rule out vulvar carcinoma

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