What is the effective treatment for Bartholinitis?

Bartholinitis cannot be ignored in treatment. For patients, antibiotics can be used for early treatment, and penicillin-type drugs are more effective. Once an abscess is formed, surgical incision and drainage should be chosen.

1. In the early stages of Bartholinitis, systemic antibiotics can be used for treatment. Since the incidence of Bartholinitis caused by gonococci has been increasing in recent years, it is best to squeeze the urethral opening or take cervical secretions for bacterial culture and perform bacterial sensitivity tests before taking any medication. Before the results of drug sensitivity tests are known, antibiotic drugs are selected based on experience. Generally speaking, penicillins have better therapeutic effects. Local hot compresses or physical therapy can also be used according to the situation to promote the disappearance of inflammation. At the same time, the vulva should be kept clean and hygienic, and synthetic underwear should not be worn.

2. Once an abscess is formed, the use of antibiotics alone is ineffective and incision and drainage should be performed. The timing of surgery should be chosen when the fluctuation is most obvious. Generally, the incision is made below the inner side of the labia majora. The incision should not be too small so that all the pus can be completely drained out. After the pus is drained and the inflammation begins to subside, take a sitz bath with 1/5000 potassium permanganate solution.

3. There are two methods for the treatment of Bartholin's gland cyst. One is cystectomy, which is to completely remove the cyst. However, due to the greater trauma, it is now rarely used. It has been replaced by cystostomy. The ostomy incision is chosen below the cyst to allow all the cystic fluid to flow out. At the same time, a drainage strip is used to prevent stoma adhesion, and a 1/5000 potassium permanganate solution sitz bath is performed. The prognosis is generally good, and the function of the Bartholin's glands can be well preserved.