• Primary care · Dec 2021

    Review

    Bartholin Gland Abscess Diagnosis and Office Management.

    • Natalie Long, Laquita Morris, and Krystal Foster.
    • Department of Family and Community Medicine, University of Missouri, Columbia, M224 Medical Sciences Building, DC032.00, Columbia, MO 65212, USA. Electronic address: longna@health.missouri.edu.
    • Prim. Care. 2021 Dec 1; 48 (4): 569-582.

    AbstractWhile Bartholin gland abscesses are less commonly seen outpatient pathology, prompt diagnosis and treatment are essential to preventing serious complications such as sepsis and rectovaginal fistula. Owing to an unacceptably high recurrence rate, simple incision and drainage is insufficient for primary treatment; preferably, placement of a Word catheter or Jacobi ring device to reepithelize the duct may be done under local anesthesia in an outpatient clinic. Destruction of the gland through silver nitrate application or alcohol sclerotherapy is an alternative. Marsupialization is often reserved for recurrent cases, although can be offered as primary management in some situations.Copyright © 2021 Elsevier Inc. All rights reserved.

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