Post-operative care after Bartholin's gland cyst excision?
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, but if it worsened, I might have trouble sitting down.
I was concerned it would cause me more significant issues in the future, and the doctor also stated that it "would not recur" after surgery, so I decided to proceed with the operation immediately.
I underwent a Bartholin's gland cyst "drainage surgery" (under general anesthesia) two days ago.
When I woke up, I saw on the diagnosis report that it stated 'cyst drainage surgery,' and I am unsure if the doctor actually "removed" the Bartholin's gland.
(Post-surgery, I only need to take medication, and I don't even need to apply anything to the affected area.) Two days after the surgery, I finally dared to touch the area, but I still felt a large mass.
Could this be a 'recurrence' (how could it happen so quickly?), or did the doctor not remove it completely? What could be the situation? The thought of having to undergo general anesthesia and another surgery again is extremely distressing! Since my follow-up appointment is not yet due, I am reaching out to consult you.
Thank you.
Given my situation, was the surgery necessary at that time? Or should I have asked the doctor to "aspirate" it on-site during the consultation (as some patients on this site reported being aspirated for pus on the spot)?
Sally, 50~59 year old female. Ask Date: 2015/09/22
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 gland itself.
Whether the cyst will recur is uncertain and can be better assessed during follow-up examinations.
If the cyst becomes larger or increasingly painful, please return for an earlier consultation.
Both surgical intervention and aspiration are options, depending on the physician's judgment at that time.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.
Reply Date: 2015/09/22
More Info
Understanding Bartholin Gland Cyst Surgery: Recovery and Concerns
Bartholin gland cysts are fluid-filled sacs that can develop in the Bartholin glands, which are located on either side of the vaginal opening. These cysts can vary in size and may or may not cause discomfort. In your case, it seems that the cyst was asymptomatic until recently, prompting your decision to undergo surgical intervention.
The surgery you underwent, often referred to as a "Bartholin gland cyst excision" or "drainage procedure," is typically performed under general anesthesia. The goal of this surgery is to relieve any symptoms caused by the cyst, such as pain or discomfort, and to prevent future complications. In some cases, the surgeon may choose to perform a marsupialization procedure, which involves creating a small pouch to allow continuous drainage of the cyst, rather than complete excision of the gland itself.
Post-operative recovery from Bartholin gland cyst surgery generally involves a few key considerations:
1. Pain Management: It is common to experience some discomfort following the procedure. Your healthcare provider will likely prescribe pain relief medication to help manage any post-operative pain.
2. Wound Care: While you mentioned that the doctor advised against applying topical medication to the surgical site, it is essential to keep the area clean and dry. Follow your surgeon's instructions regarding bathing and hygiene to minimize the risk of infection.
3. Monitoring for Complications: After surgery, it is crucial to monitor for signs of infection, such as increased redness, swelling, or discharge from the surgical site. If you notice any concerning symptoms, do not hesitate to contact your healthcare provider.
4. Follow-Up Appointments: It is important to attend your follow-up appointments as scheduled. During these visits, your surgeon will assess the healing process and address any concerns you may have.
Regarding your concern about feeling a lump at the surgical site two days post-operation, it is not uncommon for swelling or residual fluid to be present after surgery. This does not necessarily indicate a recurrence of the cyst. In some cases, the body may take time to reabsorb the fluid, and the lump may gradually decrease in size as healing progresses. However, if the lump persists or increases in size, it is essential to consult your surgeon for further evaluation.
As for the question of whether the surgery was necessary, it seems that the decision was made based on the potential for the cyst to cause discomfort or complications in the future. If the cyst had remained asymptomatic, conservative management might have been an option. However, given your concerns about potential worsening symptoms, the surgical approach was likely justified.
In conclusion, while it is natural to feel anxious about the recovery process and the possibility of recurrence, it is essential to give your body time to heal. Maintain open communication with your healthcare provider, and do not hesitate to reach out with any questions or concerns you may have during your recovery. Your well-being is the priority, and your healthcare team is there to support you through this process.
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