Bartholin's gland cyst treatment - Ars Medica Laserclinic

Inflammation of Bartholin glands is Inflammation of Bartholin glands is caused by pyogenic bacteria in the draining ducts of the glands. Swelling leads to ductal obstruction, preventing the drainage of glandular secretions. Trapped secretions may become infected leading to abscess formation within 1-2 days. Symptoms include gradually increasing pain, swelling in the lower third of the inner and outer lips on one side of the vaginal opening, difficulty sitting and walking, slight fever, or even high temperature.

All three forms require surgical treatment for permanent resolution. Surgery is generally performed on one day surgery basis.

The gynecological exam includes inspection and careful palpation of the Bartholin glands. Pelvic, colposcopic and cytological exams are performed only after resolution of the inflammation. Pre-surgery labs include complete blood count, coagulation studies and microscopic and microbiological examination of urethral secretions.

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, and must have phone to contact the clinic or the surgeon if necessary, etc).

At the booked operative time patients must bring their lab tests, slippers, night-suit. Before placed into sick-room a "STATEMENT" is to be signed in order to entitle our clinic for the performance of the procedure. Besides patients have to undertake home wound care.

Considering that operation is performed in general anesthesia, food and drink intake is allowed until 24:00 pm on the prior day to procedure -for patient have to arrive with empty stomach for the surgery!

Please take the regularly taken drugs in time and dose. Take morning drugs with little liquid at home before departure and in case you may have drugs to be taken in day-time, please bring them with to the clinic!

After signing the consent form, the patient changes clothes and proceeds to surgery. The surgery is usually performed with local anesthesia, only large abscesses require general anesthesia. For Bartholin abscesses we perform incision and drainage, followed by placement of gauze pads in the abscess cavity. Pads are changed daily for 4-5 days following surgery. On postoperative days 3 to 5 sitz baths may be started. Antibiotics are generally not needed. In case of relapsing inflammation or cyst formation, we perform a marsupialization. This involves a 1-2 cm incision at the skin-mucosal border, and suturing the inner edge of the incision to the external mucosa to prevent the closure of the wound.

No doctor can guarantee a complication-free surgery. Complications can arise even following the most carefully performed procedures. Possible early complications like postoperative bleeding and inflammation if recognized early are treatable with specific measures. If you experience even the slightest indication of complications (for example bleeding, fever or pain), you can contact your surgeon day or night, who will take the necessary steps to resolve the problem.

Surgery is commonly followed by 6-8 hours of observation, during which time the vital functions stabilize (blood pressure, urine output), the sedative effects of premedications wear off, and patients are able to leave the center on their own feet, with the help of an assistant. The day following surgery, most of our patients can continue their daily routine, taking days off work is not necessary. The average time for recovery after Bartholin gland surgery is 2-3 weeks. During this time, use of tampons or sexual activity is not recommended. In uncomplicated cases we ask our patients back for follow-up four weeks after surgery.

Surgery with local anesthesia: 0 HUF (paid by National Health Insurance Fund)
Charge for general anesthesia: 30.000 HUF (optional)

Fees of control examinations: 0 HUF (paid by National Health Insurance Fund)

Surgery with local anesthesia: 50.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Fees of control examinations: 5.000 HUF > Euro

50% of the total cost has to be paid as a deposit before surgery.
These prices are only representative, the final charge will also depend on the severity of the condition.

BARTHOLIN CYST