BARTHOLINS.pptx

Bartholin’s Gland
Function :
The production of mucoid secretion that lubricates the
distal end of the vagina during intercourse.
The glands become active after menarche and are non
palpable.
Bartholinitis
Causative agent:
Gonococcus
Streptococcus
Staphylococcus
E. coli
End result :
Complete resolution
Recurrence
Abscess
Cyst formation
Clinical features :
Local pain discomfort.
Difficulty in walking / sitting.
Examination :
Tenderness
Induration of post half of vagina.
Secretion coming out from the duct when pressed.
Treatment
Local :
Systemic:
Ampicillin 500 mg TDS
Bartholin’s Abscess
End result of acute Bartholinitis.
Clinical features:
Severe local pain and discomfort.
Difficult / painful walking and sitting.
On examination:
Unilateral tender swelling.
Oedomatous red overlying skin.
Treatment:
Rest.
Sitz bath.
Systemic antibiotic Ampicillin 500 mg.
Drainage of abscess.
Bartholin’s cyst
The content is colourless glairy liquid.
C/f :
Small cyst : usually unnoticed.
Larger cyst : Local discomfort and dyspareunia.
Examination:
Unilateral swelling on post half of labia majora.
Projection on vulval cleft into S-shape.
Overlying skin is shiny and thin.
Cyst remains non tender and fluctuant.
Treatment:
Marsupilisation.

1. Bartholin’s gland infection Dr. Yashika

2. Bartholin’s Gland Structure: Paired gland, oval-shaped 0.5 cm long . 2 cm long efferent duct connects each gland to the postero -lateral aspect of the vaginal orifice. Location : 5 O'clock and 7 O’clock position of hymen.

3. Function : The production of mucoid secretion that lubricates the distal end of the vagina during intercourse. The glands become active after menarche and are non palpable.

4. Bartholinitis Causative agent: Gonococcus Streptococcus Staphylococcus E. coli

5. End result : Complete resolution Recurrence Abscess Cyst formation

6. Clinical features : Local pain discomfort. Difficulty in walking / sitting. Examination : Tenderness Induration of post half of vagina. Secretion coming out from the duct when pressed.

7. Treatment Local : Systemic: Ampicillin 500 mg TDS Hot compress Analgesics

8. Bartholin’s Abscess End result of acute Bartholinitis .

9. Clinical features: Severe local pain and discomfort. Difficult / painful walking and sitting. On examination: Unilateral tender swelling. Oedomatous red overlying skin.

10. Treatment: Rest. Sitz bath. Systemic antibiotic Ampicillin 500 mg. Drainage of abscess.

11. Bartholin’s cyst The content is colourless glairy liquid. C/f : Small cyst : usually unnoticed. Larger cyst : Local discomfort and dyspareunia.

12. Examination: Unilateral swelling on post half of labia majora . Projection on vulval cleft into S-shape. Overlying skin is shiny and thin. Cyst remains non tender and fluctuant. Treatment: Marsupilisation .

13. Thank you