Post Date August, 05 2023
Bartholin's cyst is a gynecological disease that we should pay attention to. It will also have some symptoms after it appears. We should go to the hospital for inspection in time after the body has abnormal conditions.
What is Bartholin's cyst
Bartholin's cyst is caused by blockage of Bartholin's gland tube and accumulation of secretion. After acute inflammation subsides, the glandular ducts become blocked, secretions cannot be discharged, pus gradually turns into clear fluid and forms cysts. Thick mucus in the glandular cavity or congenital glandular duct stenosis and poor discharge can also form cysts. It can also cause damage to the Bartholin's gland, such as blocking the glandular duct orifice with scar after perineal and vaginal laceration during delivery, or damaging the glandular duct with lateral episiotomy.
Symptoms of Bartholin's cyst
1. The size of the Bartholin's cyst is different, but it gradually increases due to its small size. Cysts grow slowly and can last for many years. If the cyst is large, the patient may feel a swelling sensation in the external genitalia, and may experience various discomfort during sexual intercourse.
2. Cysts have mobility, but there is no obvious tenderness. When women have frequent sexual activity, cysts rapidly increase, coupled with secondary infections, local redness, swelling, obvious pain, and systemic symptoms such as fever.
3. There is a cyst at the lower end of the unilateral Labia majora, and there is mucus when puncturing. Sexual stimulation will affect the size of the cyst.
4. The content of a cyst is related to the differentiation of abscesses, lymphedema, etc.
Bartholin's cyst examination
1. Normal examination: Check the location, appearance, size, and local diagnosis of the cyst, and if necessary, perform local puncture to identify the content and abscess.
2. Pathological examination: Pathological examination shows that the inner wall of the cyst is covered with cuboidal epithelium, squamous epithelium, or mobile epithelium. Abscess is a localized accumulation of pus in tissues, organs, or body cavities during acute infection due to necrosis and liquefaction of the diseased tissue, with a complete pus wall surrounding it.
Diagnosis of Bartholin's cyst
1. The examination, location, appearance and local diagnosis of Bartholin's cyst are difficult to diagnose without inflammation. However, local puncture is necessary to diagnose the condition of the content and abscess.
2. Pathological examination of the removed cyst shows that the inner wall of the cyst is covered by cuboidal epithelium, squamous epithelium, or mobile epithelium.
3. When checking to confirm the condition, we should pay attention to the difference between the cyst and the Inguinal hernia of the Labia majora. The latter has a sensation of impulsion with the inguinal mass, and when holding one's breath downwards, the mass will slightly swell, presenting as a drum sound during percussion, and usually only appears suddenly after excessive force.
4. Take the secretion at the opening of Bartholin's gland, urethral orifice and paraurethral gland, and then make smear to check the pathogenic bacteria, so as to confirm the condition.
