(031) Bartholin Cysts Can Be Treatable Causes of Female Sexual Dysfunction: Four Year Review of Diagnosis and Treatment Principles

Abstract Introduction Bartholin glands are major vestibular androgen dependent that release mucus secretions during sexual arousal through a 2.5 cm duct drains at the 5 o'clock and 7 positions of vestibule. Bartholin's innervated by branch pudendal nerve; mucous secretion is activated efferent pelvic nerve. Unilateral or bilateral obstruction ducts may occur (e.g. from trauma, infection, surgery, idiopathic), however as long innervation intact, continue to produce despite outlet ductal occlusion. This leads dilation with subsequent cyst formation can result in cyst-associated dysfunction symptoms. Objectives To review patient records women presenting medicine clinic over four-year period diagnosed surgically treated for dysfunction. Methods Grayscale ultrasound was performed (see figure) using Aixplorer dimensions were measured after visual stimulation office. Vulvoscopy Wallach Zoomscope. anesthesia testing benzocaine 20%, lidocaine 8% tetracaine 6%. Marsupialization surgery an out-patient. Results We identified 11 patients (mean age 26 +/− 6 years) between January 2019 November. 2010 who met inclusion criteria marsupialization unilateral (4) (7) cysts. Their symptoms included dryness (73%), pain (82%), orgasm (36%), spontaneous drainage (18%), mass introitus interfering penetration (45%). 55% had been previously other facilities unsuccessfully, including aspiration, Word catheter placement, marsupialization. The mean size on 2.9 1.5 cm. positive all (4/4) underwent this test. Surgical principles encourage post-op mucin visualization direct anastomosis inferior portion incision and/or o’clock locations figure). Post-operative daily encouraged marsupialized documented placement gauze observing At time review, average follow-up 8 months, 15 18 (83%) cysts still draining 9/11 somewhat better, much better very resolution Conclusions be successfully treated. Diagnosis involves Treatment 5:00 7:00 locations. documentation mucinous detected. Disclosure No.