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BARTHOLIN GLAND INFECTION |
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Bartholin Gland Infection is the inflammation of one of the Bartholin glands. The bartholin glands are located on the right and left side of the vaginal entrance, and their main role is production of a secretion for smoothing the vagina. These glands have deferent ducts that produce their excreta and in the end all secretions are collected in a final duct, which is on the right side of the vagina in regards to the right bartholin and on the left side of the vigina for the left one.
Because of gland inflammation there is a chance for the deferent duct to increase and that has as an effect to increase its volume with accompanying signs of inflammation such as redness, pain, local temperature increase, and so on. The inflammation of one of the bartholin glands is very common phenomenon and the first phase of treatment is primarily pharmacological.
The medicated treatment is using double antibiotic regimen in order to eliminate the bacteria, that caused the inflammation.
Mostly Metronidazole is the drug of choice in such cases to deal with the anaerobic strains.
The patient feels a mass in the vagina on the right or the left part of the entrance, that starts to hurt sharply. The Increase of the size of that mass can happen within a few hours and is accompanied by pain increase.. She has a difficulty to sit, walk and sometimes is forced to go to the doctor as soon as possible, not knowing what is going on.
In cases where pain is intense a good surface disinfection of the surface area should be made, and a create a small opening in order to remove the liquid that has accumulated in the cavity. This results in immediate relief of the patient and the immediate taking of painkillers and antibiotics helps to combat the problem.
Some times the delay for the patient to seek medical help can lead to a spontaneous rupture of the tumor that may have formed, and of course in this case we have reduction of the symptoms. It is very common that the same problem to reappear in the same or the opposite side immediately or after several weeks or months. If we have a short time recurrence of the problem in addition to antibiotics, a small surgery is needed, which has to do with a technique for the cyst. We open the cyst and we stitch it in a way that is left to dry in the ambient air and this way the problem is usually solved. In some cases however, we have to do a radical surgical removal of one of the two vardolin glands but is not always helpful. In these cases the patient should stay for three days in a hospital, but the problem no longer exists.
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