Procedures
Excision of Bartholin's gland

Overview

Bartholin’s glands are located outside the opening of the vagina. They are responsible for secreting mucous to lubricate the vagina. The gland opening may be blocked, and mucous build-up in the gland. This then results in the formation of a Bartholin’s cyst, which may become large. If the cyst becomes infected with bacteria, a Bartholin’s abscess will be formed.

When is the excision of Bartholin’s gland done?

Excision of Bartholin’s gland is indicated for persistent and recurrent Bartholin's gland abscess and cyst. It may also be recommended when conservative treatment has been exhausted.

The purpose of the Bartholin's gland excision is to remove the entire Bartholin's gland. The bilateral removal of Bartholin's gland eliminates the secretion of fluid in the gland, which is useful as a vaginal lubricant. As with any other surgical procedure, there is a risk of bleeding, infection and complications due to anaesthesia.

What does the excision of Bartholin's gland entail?

For the procedure, you will be given medicine through an IV in order to put you under general anaesthesia. Dr Hlabisa will carefully do a rectovaginal examination to examine the entire Bartholin’s gland cyst or abscess. He will retract the labia with the use of several Allis clamps. The gynaecologist will make an incision over the vaginal mucosa, which is situated over the meatus of the gland. He will remove the entire gland, and the bed of the gland will be stitched closed with absorbable suture. A suction catheter will be inserted in the wound, which will be removed after 4 days.