From the Research
The most effective treatment for a Bartholin's gland cyst is marsupialization, as it has been shown to have a lower recurrence rate and higher patient satisfaction compared to Word catheter insertion, as demonstrated in the most recent study from 2022 1.
Treatment Options
The treatment for a Bartholin's gland cyst depends on its size, symptoms, and whether it's infected. For small, asymptomatic cysts, no treatment may be necessary as they often resolve on their own.
- For symptomatic cysts, warm sitz baths for 10-15 minutes several times daily can provide relief and may help the cyst drain naturally.
- If the cyst is large, painful, or infected (forming an abscess), medical intervention is typically required.
Medical Intervention
The most common procedure is marsupialization, where a small incision is made in the cyst and the edges are stitched open to create a permanent opening that allows drainage.
- Alternatively, a Word catheter may be inserted for 4-6 weeks to create a new duct.
- For recurrent cysts, gland excision might be considered, though this is less common due to potential complications.
Infection Treatment
If infection is present, antibiotics such as amoxicillin-clavulanate (875/125 mg twice daily for 7 days) or doxycycline (100 mg twice daily for 7 days) may be prescribed.
- These treatments are effective because they either allow the trapped fluid to drain or treat the underlying infection causing inflammation of the gland.
Study Comparison
A study from 2017 compared the recurrence rates of Word catheter and marsupialization, finding comparable recurrence rates for both treatments 2.
- However, the most recent study from 2022 found that marsupialization had a lower recurrence rate and higher patient satisfaction compared to Word catheter insertion 1.
Recommendation
Based on the most recent and highest quality study, marsupialization is the recommended treatment for Bartholin's gland cysts due to its lower recurrence rate and higher patient satisfaction 1.