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Bartholin Gland Marsupialization
Description
Marsupialization is the drainage and permanent fistulization of a symptomatic cystic dilation of the Bartholin gland. This provides an alternative to the obstructed anatomic drainage of the Bartholin gland.
Indications
Symptomatic cystic dilation of the Bartholin gland. Asymptomatic cysts in women younger than 40 years do not require treatment; in patients older than 40 years, biopsy is indicated. When performed for recurrent abscess formation, marsupialization should be deferred until inflammation has subsided.
Contraindications
Incomplete evaluation of the vulvar lesion, bleeding diathesis, active inflammation or infection, age more than 40 years, known or suspected allergy to agents used (eg, latex, iodine), uncorrected coagulopathy.
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