Removal of cystic formations of Bartholin glands is one of the services of the gynecological department of CELT. Being a multidisciplinary clinic, our clinic has a powerful diagnostic and treatment base. Thanks to her, our gynecologists accurately diagnose, identifying pathologies even in the early stages of their development. Treatment is carried out in accordance with international standards. You can find out the price of the operation in the “Services and Prices” section. Despite the fact that we regularly update the price list, check the numbers at an appointment with a doctor or by calling our operators.
Causes of cysts
A Bartholin gland cyst occurs when the gland duct is blocked and secretions accumulate inside. Known causes of cysts are:
- Chronic inflammation of the Bartholin gland (bartholinitis) caused by sexually transmitted infections of the genitourinary system (chlamydia, ureoplasmosis, candidiasis, trichomoniasis, etc.). Pathogenic microorganisms enter the gland ducts, causing inflammation and subsequent blockage of the duct.
- Injuries to the gland duct during surgical or gynecological procedures.
- Injury to the skin of the gland during intimate hygiene, tight underwear or sexual intercourse.
Bartholin gland cyst: complications
If Bartholin gland cysts are left untreated, complications may arise in the form of inflammation of the cyst, when the accumulated secretion begins to become inflamed. This inflammation is accompanied by an increase in temperature, painful sensations when pressing on the labia area, and intoxication of the body occurs. In some cases (when the cyst ruptures), inflammation can develop into an abscess of the Bartholin gland, with tissue necrosis and an open wound. Given the location close to the vaginal opening, cyst rupture and abscess formation are likely to be complicated by the spread of infection to other genitourinary organs.
Diagnostics
The diagnosis of a Bartholin gland cyst (including asymptomatic cases) is often made on the basis of an objective examination: asymmetry of the genital fissure, an increase in the volume of one or, less often, two labia majora. If the Bartholin gland cyst is not inflamed, the skin over it retains its normal color. Upon palpation, the gynecologist detects a slightly painful cystic formation of elastic consistency in the thickness of the labia majora.
Laboratory tests: not specific [3] (in blood and urine tests, if the cyst is uncomplicated by inflammation, there will be no changes
Instrumental studies: ultrasound of the external genital area reveals an anechoic or hypoechoic avascular (not reflecting or poorly reflecting ultrasound, on the screen we see a round formation with thin - light walls and completely dark or light suspended contents) formation with thin walls
List of main diagnostic measures at the outpatient stage:
1. General blood test;
2. General urine analysis;
These blood and urine tests are taken as part of the standard, to prepare for surgical treatment and to exclude concomitant pathologies from other organs with their subsequent correction)
3. Smear for microflora and degree of purity.
This is an examination method in which the test material is taken from the surface of the mucous membrane of the vagina, cervical canal and urethra. The purpose of the analysis is to assess the composition of the microflora and identify inflammatory diseases. The assessment of the standing of the natural flora has in its classification four degrees of vaginal cleanliness:
1st degree – epithelial cells and a normal number of lactobacilli in the smear, pH – acidic;
Grade 2 – a small number of leukocytes, fewer lactobacilli, gram-positive diplococci are present. pH – remains acidic;
3rd degree - increased number of epithelial cells and leukocytes, decreased lactobacilli, many coccal bacteria, pH - slightly acidic or alkaline;
4th degree – a large number of epithelium and leukocytes, pyogenic microorganisms, absence of lactobacilli, pH – alkaline.
4. Bacterioscopic examination of vaginal discharge and cyst contents - allows us to identify microbial agents that caused the Bartholin gland cyst: identification of the pathogen, sensitivity to antibiotics.
5. Testing for infections (ELISA, PCR) gonorrhea, trichomoniasis, chlamydia. [3]
The required scope of examinations before hospitalization:
1. Blood for antibodies to Treponema pallidum (this is the detection of total antibodies to the causative agent of syphilis) - a necessary test before hospitalization and surgery!!
2. Blood type and Rh factor.
3. General blood test.
4. General urine analysis.
5. Smear to determine the degree of purity.
6. Culture from the cervical canal.
7. HbsAg - surface antigen of the hepatitis B virus - to detect hepatitis B by its presence and determine its concentration, a necessary analysis before hospitalization and surgery!!
8. Anti HCV.
In women during menopause or perimenopause, an excisional biopsy is indicated to exclude adenocarcinoma, since at this age the risk of developing malignant tumors is greatest
Treatment of Bartholin gland cyst
If the cyst is small and there is no growth, treatment may not be carried out, except in cases where it causes cosmetic discomfort. However, if you notice the growth of a cyst and pain when pressing on it, then you need to consult a gynecologist.
Cyst treatment is done surgically. Simply opening the cyst and cleaning the contents is not a solution to this problem due to relapse. If the operation does not restore the gland duct, then relapse cannot be avoided. There are two main methods of treatment - marsupialization of the cyst and installation of a catheter.
Contraindications
Removal of a pathological neoplasm cannot be done without surgery. During the operation, anesthetics are used to dull the pain. The patient may have a congenital allergy to anesthesia and similar drugs. In this case, it is better to refuse the operation.
Anesthesia itself puts a strain on the cardiovascular system, and many people refuse it on their own. That is, the cyst removal procedure can be completed without painkillers. Then the patient will have to endure. According to women who have already experienced the operation, the pain threshold of the operation is quite tolerable.
Contraindications to cyst removal can be objectively divided into two groups:
- general - this includes the state of the body as a whole, when the patient is suffering from any infectious or chronic diseases;
- local - this category includes disorders of the intimate and genitourinary areas.
If there are additional problems, there is a risk of complications after surgery. There are no other contraindications, since the operation is not classified as severe and does not last long.
Bartholin gland cyst during pregnancy
If you discover a cyst during pregnancy and it does not bother you, we recommend waiting until the end of your pregnancy and having surgery to remove it. However, if you experience pain and the cyst begins to grow, it is necessary to remove it. Inflammation can have a negative impact on the fetus. During pregnancy, gynecologists usually recommend removing the cyst immediately along with the gland, rather than reconstructing it. This is done to minimize the risk to the fetus when inflammation and relapse occur. When one gland is removed, the second can compensate for its functions.
Where to do it in Moscow?
To treat a cyst of the large gland of the vaginal vestibule in Moscow, we suggest you use the services of our specialized center for operative gynecology at the K-MED clinic for the following reasons:
- The latest equipment and materials : In our center for operative gynecology at the K-MED clinic, we use only the latest equipment. Operations are carried out in a modern operating room, which fully meets all approved standards.
- Experienced doctors : Our center has already existed for more than 15 years. Gynecology is one of the main areas of the clinic. Our clinic employs experienced gynecologists, candidates and doctors of science. During this time, we have already treated thousands of patients and performed hundreds of successful operations.
- Removal of a Bartholin gland cyst without pain : Usually this procedure is performed under anesthesia, which is selected individually for each specific case. However, at the request of the patient, it can be performed under local anesthesia or without it.
- Transparency of work : before treatment, the attending physician will fully tell you how the operation will take place, what will be done and what the expected result will be.
- Saving time : we value your time very much, so we will coordinate your appointment time with you in advance so that you do not have to wait. On average, an operation to remove a cyst takes about an hour, after which you will be in the clinic room for 2 hours, and then you can leave our clinic on your own, even while driving your own car.
During subsequent treatment, a consultation with a gynecologist-surgeon in our clinic is free of charge .
Get a free detailed consultation by calling (495) 434-34-44 or from 8 a.m. to 8 p.m. daily.
Our addresses : Moscow, Metro Yugo-Zapadnaya or Belyaevo / Konkovo, st. 26 Baku Commissars, no. 6; Moscow, metro station "Proletarskaya" st. Talalikhina, 2/1, bldg. 5.
Preparation stage
Before removing a cyst, you need to consider some nuances. Treatment can be done in two ways, with the most commonly used outpatient approach. That is, the patient is at home and takes the medications prescribed by the doctor. She should come for examination periodically so that the doctor can monitor changes.
If they go for the worse, the patient is offered surgery. In this case, a little preparation is needed. Serious surgical preparation is not required for this, since the procedure is one of the easiest and lasts for an hour.
Before the operation, the patient needs to be examined in the clinic. Go through a routine gynecological examination and then laboratory tests. Doctors will determine possible contraindications, although they are rare.
Before the operation itself, the patient should also take into account some points:
- the intimate area needs to be put in order, that is, washed well, and all hair removed from it. This will greatly facilitate the surgeon’s work and protect the body from infection;
- Before the procedure, you need to empty your bladder, that is, go to the toilet.
Reviews
I liked the attitude towards me at the clinic, and especially the professional abilities of Dr. Zhanna Georgievna Muradova. The gynecological problem, namely the removal of the cyst, was resolved quickly and without complications. Once again I want to thank Zhanna Georgievna and the entire Lama staff!
Marina (Moscow 2018)
I put off going to the gynecologist for a long time and couldn’t find the time due to my busy work schedule. A small lump on the labia did not bother me. However, the lump became larger and larger, and pain periodically occurred during sexual intercourse and hygiene procedures. On the advice of a friend, I went to the Lama clinic, where I see an excellent doctor, Zhanna Georgievna Muradova. At the appointment I learned that surgical intervention was necessary to remove a Bartholin gland cyst. The operation went quickly, the anesthesia did not cause any significant inconvenience. I returned home in the evening, and a few days later I started work.
Anastasia (Moscow, 2015)
At an appointment with Zhanna Georgievna Muradova, it turned out that I have a Bartholin gland cyst. Previously, I did not pay attention to the slight swelling, but my husband and I were going to have a baby, and I took it seriously. The doctor explained that the cyst can become inflamed during pregnancy, and this can harm the baby. In this case, you will have to remove the gland completely. At first I didn’t decide to have surgery, but I soon noticed that the lump had significantly increased in size. The operation went without complications. Thanks to the clinic specialists.
Marina (Moscow, 2014)
I discovered a lump on my labia this summer. I read it on the Internet and decided not to treat the cyst until it started to hurt. Painful sensations appeared four months later, after which I turned to my gynecologist at the Lama clinic. I was scheduled for surgery to remove the cyst because internal inflammation had begun. The operation was performed under anesthesia, during which I did not feel anything. Afterwards, the anesthesia wore off within an hour, it was painful, but tolerable. The first day it hurt to walk, but on the second day everything was fine. After the operation, everything healed within two weeks, there was no relapse. It was right that I decided to have surgery and not delay it. I recommend contacting Muradova Zh.G.
Valentina (Moscow, 2013)
During a regular examination by a gynecologist, they found a gland cyst on my labia. I didn't even notice it myself. The cyst was observed for a year, and when it reached the size of a cherry, I decided to remove it for cosmetic reasons. She started to bother my husband. The operation was done quickly. I arrived at the clinic in the morning and was already home by lunchtime. After the anesthesia there was a bit of a plague-like state, but I thought it would be worse. The next day the discomfort stopped, and after two weeks everything was completely restored. It’s right that I decided not to install a catheter; recovery with it takes longer. I recommend contacting the clinic. Everything is clear, fast and professional. Prices are strictly according to the price list and no markups.
Tatyana (Moscow, 2014)
I consider myself lucky that I turned to Dr. Alina Valerievna Ervasova with my problem. I experienced great relief from the doctor’s tactful communication, and even more so after the most successful operation. I can say from my own experience that Alina Valerievna is a young, but at the same time experienced doctor. My sincere gratitude to Alina Valerievna.
Inna (Moscow 2017)
I discovered a fatty deposit on my labia myself and immediately went to my gynecologist at the Lama clinic, where I always undergo examinations. It turned out to be a cyst of the gland of the vaginal vestibule, and that an operation was needed to remove it. We agreed to observe for another month, but during this time it doubled in size. The operation was performed using a silicone implant to prevent relapse. A month later it was removed. I recovered very quickly. I'm satisfied with the operation. Many thanks to the doctors of the clinic.
Victoria (Moscow, November 2013)
Articles on the topic
Removal of a Bartholin gland cyst: reviews of the operation and consequences
A Bartholin gland cyst is a tumor inside the labia that occurs due to blockage of the gland ducts and accumulation of secretions. If the cyst begins to actively increase in size and cause discomfort, you should immediately consult a doctor who will prescribe appropriate treatment. Cyst treatment is done [...]
Tumor on the labia: causes
Special organs, the Bartholin glands, are responsible for secreting secretions that moisturize the vaginal walls. These glands are located at the base of the labia majora and are connected by ducts to the labia minora. If the gland duct becomes inflamed and blocked, a tumor forms on the labia - a Bartholin gland cyst. […]
Recommendations after surgery
After opening the abscess, it is important to carefully follow the doctor’s recommendations:
- Avoid sexual intercourse during the recovery period;
- Do not visit baths, saunas, swimming pools, ponds;
- Washing in the shower instead of lying in baths;
- Avoid overheating and hypothermia;
- Give preference to loose cotton underwear.
As a rule, recovery occurs quite quickly. At first, it is preferable to remain in bed to prevent stress on the perineal tissue.
