Post-Bartholin Gland Cyst Surgery: When to Seek Medical Attention?

Post-operative issues after ostomy surgery?

Hello Doctor: It has been over a month since I underwent Bart's gland pouch surgery, and the doctor said my recovery is good and I do not need to return for a follow-up.
However, the surgical stitches and knots have not fallen off yet.
Should I go to the hospital for the doctor to address this?

Wen, 40~49 year old female. Ask Date: 2016/12/03

Dr. Lü Lizheng reply Obstetrics and Gynecology

If the wound is not painful and there is no drainage, it indicates normal healing.
The sutures and knots should be made of absorbable material, which can fall off on their own and may not require removal.
If the wound is painful or there is drainage, a follow-up appointment is necessary.
If uncertain, it is recommended to return for a check-up with a physician.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/12/03

More Info

After undergoing Bartholin gland cyst surgery, it is important to monitor your recovery closely. While your doctor has indicated that your healing is progressing well, the presence of sutures or scabs that have not fallen off after a month can be a cause for concern. Here are some considerations regarding when to seek medical attention post-surgery:
1. Suture Management: Typically, sutures used in surgical procedures can be absorbable or non-absorbable. Absorbable sutures usually dissolve within a few weeks, while non-absorbable sutures need to be removed by a healthcare professional. If you have non-absorbable sutures that have not fallen off after a month, it is advisable to consult your doctor for evaluation and possible removal. Leaving non-absorbable sutures in place for too long can lead to complications such as irritation, infection, or the formation of scar tissue.

2. Signs of Infection: It is crucial to watch for signs of infection around the surgical site. Symptoms may include increased redness, swelling, warmth, or discharge that is yellow or green in color. If you experience fever, increased pain, or any unusual symptoms, you should seek medical attention promptly.

3. Pain and Discomfort: While some discomfort is expected after surgery, persistent or worsening pain that does not improve with over-the-counter pain relief should be evaluated by a healthcare provider. This could indicate complications such as infection or issues related to the healing process.

4. Changes in the Surgical Site: If you notice any changes in the appearance of the surgical site, such as the development of new lumps, changes in color, or any unusual growths, it is important to have these assessed by your doctor.

5. Follow-Up Care: Even if your doctor has indicated that a follow-up visit is not necessary, you have the right to seek further evaluation if you have concerns about your recovery. It is always better to err on the side of caution when it comes to your health.

6. Self-Care and Monitoring: Continue to care for the surgical site as instructed by your healthcare provider. Keep the area clean and dry, and avoid any activities that could strain the area until you receive clearance from your doctor.

In summary, while your initial recovery appears to be on track, the presence of sutures that have not fallen off after a month warrants a visit to your healthcare provider. They can assess the situation, determine if any intervention is needed, and provide you with peace of mind regarding your recovery process. Always prioritize your health and do not hesitate to seek medical advice when you have concerns.

Similar Q&A

Understanding Bartholin Gland Cyst Surgery: Recovery and Concerns

A few months ago, I discovered a lump in my vulva that felt like a tumor, but it was not painful. Recently, I consulted a doctor who diagnosed it as a Bartholin's gland cyst. He mentioned that medication would not be effective and that surgery was not currently necessary, bu...

Dr. Lü Lizheng reply Obstetrics and Gynecology
The procedures "Bartholin gland cyst marsupialization" and "cyst drainage" refer to the same concept. This involves creating an opening on the surface of the Bartholin gland cyst to allow the fluid inside the cyst to drain out, without removing the Bartholin g...

Managing Bartholin Gland Cyst: When to Seek Further Medical Attention

Hello, during my appointment on Wednesday afternoon, the doctor diagnosed me with a Bartholin's gland cyst. The doctor used a needle to aspirate the pus and prescribed medication and ointment. However, after returning home, I still experience significant pain when cleaning o...

Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Coco: It is recommended to return for a follow-up appointment to perform a drainage procedure, specifically a fistulotomy, to ensure the abscess is completely drained.

Understanding Bartholin's Gland Cysts: Treatment Options Beyond Surgery

Dear Doctor: I have been experiencing Bartholin's gland cysts in the vulvar area recently. I have visited the clinic twice to have the swelling drained, and the doctor mentioned it was due to an infection and recommended surgery. Is surgery the only option available?

Dr. Lü Lizheng reply Obstetrics and Gynecology
Hello: First, it is important to ensure that the Bartholin's gland cyst has been completely drained, and that adequate and effective antibiotic treatment has been administered for a sufficient duration to prevent recurrence. Surgical intervention can also provide a thorough ...

Understanding Bartholin Gland Cyst Surgery: Recovery and Sexual Activity

Hello, doctor. I had a Bartholin gland cyst excision on March 21, and today, March 25, I'm feeling some itching at the wound site. Is this normal? The area around the wound is noticeably red, with stitches and a small opening. Will this affect sexual activity in the future? ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, that's considered normal. Generally, it does not affect sexual activity, but you should wait for the wound to heal. Wishing you good health.