(130) Marsupialization of the Bartholin Duct Cyst and Recanalization for Symptomatic Recurrent Bartholin Cysts

Abstract Introduction Bartholin glands (BGs) are located posteriorly on each side of the vaginal introitus. During sexual arousal, BGs release mucinous secretions into vestibule at 5:00 and 7:00 positions via a 2.5 cm duct (BD). The BD may become obstructed from trauma, inflammation, infection, vestibular or vulvar surgery, idiopathic factors. Despite obstruction, continue to produce secretion causing cystic dilation duct. Thus, cyst (BC) is formed can result in pain during arousal. Treatment strategies include sitz baths, hot compresses, aspiration, Word catheter placement, BC marsupialization. Objective This chart review was performed assess safety efficacy new technique for marsupialization patients with symptomatic BC. Methods who underwent using technique. strategy involves anterior wall BC, identification lumen posterior under surgical Loupes magnification advancement directly surface introitus and/or locations. neo-ostium secured interrupted 4.0 chromic sutures. Results 14 (mean age 28 ± 9 years) between 2015 - 2022 diagnosed recurrent BC-induced arousal were treated by mucosal Each patient averaged 3 prior treatments (range 0- 6). Symptoms included walking/sitting (100%) an mass interfering penetration (50%). mean size ultrasound 2.7 1.6 x 2.4 1.7 cm. All surgeries as outpatient procedures. Sexual encouraged early post-operatively documented photography post-arousal. With average follow-up months, 11/14 (79%) BCs have resolved. Conclusions A described involving anastomosis introital mucosa locations, resolution excellent restoration BG lubrication. Disclosure No