Marsupialization is a surgical procedure used to treat Bartholin’s cysts. Bartholin’s glands are tiny organs on the labia near the vaginal opening. The glands help provide lubrication for sexual intercourse. Under normal circumstances, you’d probably never notice these glands. But sometimes, skin grows over the opening of the gland, trapping fluid inside. A buildup of fluid results in a cyst.
If you have a small Bartholin’s cyst, there’s a good chance that it’s painless. However, they can grow large enough to cause discomfort and pain. They can occasionally become infected or abscessed. In those situations, your doctor will likely recommend treatment.
Marsupialization is also used to treat other types of cysts, such as Skene duct cysts, which develop near the opening of the urethra.
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Marsupialization is often used to treat cysts that form in the Bartholin's glands. These are a pair of small, pea-sized glands found just inside the vagina that secrete lubricating fluid during sexual intercourse.
The fluid travels into the vagina down tiny tubes called ducts. If these ducts become blocked, they can fill with fluid and form a cyst.
No one knows for sure why these ducts get blocked and develop cysts. In rare cases, sexually transmitted infections may cause Bartholin's cysts.
Doctors may recommend marsupialization if a person has a history of recurring Bartholin's gland cysts, or if the cysts cause significant pain. It is also a good treatment option in situations where other treatments have failed.
Marsupialization is an effective treatment that has few risks. Doctors will not carry out the procedure if there is an abscess present, however. Sometimes the surgery is recommended but does not go ahead because the person declines the treatment.
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Marsupialization is the surgical technique of cutting a slit into an abscess or cyst and suturing the edges of the slit to form a continuous surface from the exterior surface to the interior surface of the cyst or abscess. Sutured in this fashion, the site remains open and can drain freely. This technique is used to treat a cyst or abscess when a single draining would not be effective and complete removal of the surrounding structure would not be desirable.
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complications after marsupialisation are rare, they can include:
After marsupialisation, you'll be advised to take things easy for a few days. You should avoid having sex until the wound has completely healed, which usually takes about 2 weeks.
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