Vaginal and Vulval Disorders Flashcards Preview

4.2. Reproductive Health > Vaginal and Vulval Disorders > Flashcards

Flashcards in Vaginal and Vulval Disorders Deck (5)
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1
Q

What is a bartholins cyst?

A

Fluid-filled sac within one of the Bartholin’s glands of the vagina

2
Q

Outline the pathophysiology of a batholins cyst

A

Gland function = secrete mucus to lubricate vagina

Gland location = deep to the posterior aspect of the labia majora

Build up of mucus secretions = gland blocked = cyst devel

Can become infected = abscess

3
Q

List the signs and symptoms of a bartholins cyst

A

Small = asymptomatic

Large = pain, superficial dyspareunia

Bartholin’s cyst: typically soft, fluctuant and non-tender

Bartholin’s abscess: typically tense and hard, with surrounding cellulitis

4
Q

When should a bartholins cyst be biopsied?

A

Women >40 to exclude vulval carcinoma

5
Q

Outline the treatment of a bartholin cyst

A

Small = no treatment, warm baths

Larger =

  • Word catheter (tube)
  • Marsupialisation (vertical incision)

Suspected malignancy = removal

Systemically unwell = Abx