From the Research
For marsupialization of a Bartholin cyst, you should refer to a gynecologist. This procedure is typically performed by gynecologists who have specific training in managing vulvovaginal conditions. The marsupialization procedure involves creating a permanent opening in the cyst wall to allow continuous drainage, preventing recurrence of the cyst.
Key Points to Consider
- While some primary care physicians or general surgeons may perform this procedure, a gynecologist is the specialist most experienced with this technique and can also rule out other vulvar pathologies.
- The procedure is relatively minor and can often be performed in an office setting under local anesthesia, though some cases may require sedation in an outpatient surgical center.
- If the cyst is infected (forming a Bartholin abscess), treatment with antibiotics may be necessary before or alongside the procedure.
- Patients with recurrent cysts, large cysts, or those who are experiencing significant pain or discomfort are ideal candidates for referral for marsupialization.
Recent Evidence
A recent systematic review and meta-analysis published in 2024 1 compared the Word catheter placement and marsupialization methods in the management of women with a cyst or abscess of the Bartholin's glands, and found no significant difference in the recurrence of cysts or abscesses between the two methods.
Specialist Referral
Given the specialized nature of the procedure and the need for proper diagnosis and treatment of any underlying conditions, referral to a gynecologist is recommended for marsupialization of a Bartholin cyst.
Procedure Details
The gynecologist will assess the patient's condition and determine the best course of treatment, which may include marsupialization, Word catheter placement, or other treatment options.
Patient Selection
Patients with recurrent cysts, large cysts, or those who are experiencing significant pain or discomfort are ideal candidates for referral for marsupialization, as this procedure can provide long-term relief and prevent future recurrences.