Bartholin´s Cyst
Conditions
Keywords
silver nitrate, marsupialisation
Brief summary
Silver nitrate treatment of Bartholin's cyst or abscess will be compared to marsupialization treatment. It is expected that silver nitrate treatment is effective, simple, inexpensive and the least anaesthetic requiring procedure, which can easily be carried out in the outpatient setting.
Detailed description
Background and objective: Bartholin gland cysts and abscesses are common problems in women of reproductive age. The traditional treatment of Bartholin´s cyst or abscess is marsupialization, which has disadvantages, such as pain of long duration, scarring, risk of general anaesthesia and risk of recurrence. In the present study we use silver nitrate in the treatment of Bartholin's cyst or abscess and compare to marsupialization. We expect lower healing time, lower recurrence rate and less pain with the silver nitrate treatment. Methods and materials: 30 patients with Bartholin´s cyst or abscess will be investigated. It is prospective randomized study. The silver nitrate treatment is performed under local anaesthesia on an outpatient basis. A simple vertical incision 1 cm in length is made in the vaginal mucosa and the underlying cyst or abscess wall. A crystalloid silver nitrate stick of 5 mm in diameter and 5 mm in length is inserted into the cyst or abscess cavity. The standard marsupialization treatment is performed under general anaesthesia.
Interventions
PROCEDUREsilver nitrate application to the Bartholin´s cyst
5 mm in diameter and 5 mm in length crystalloid silver nitrate stick is inserted into the cyst or abscess cavity.
PROCEDUREsilver nitrat stick
The silver nitrate treatment is performed under local anaesthesia on an outpatient basis. A simple vertical incision 1 cm in length is made in the vaginal mucosa and the underlying cyst or abscess wall. A crystalloid silver nitrate stick of 5 mm in diameter and 5 mm in length is inserted into the cyst or abscess cavity.
Sponsors
Randers Regional Hospital
University of Aarhus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Women with a age of 18-60 years * Should read and understand Danish * All women inclusive pregnant should have a Bartholins cyst or abscess
Exclusion criteria
* Subject who cannot give written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recidive of bartholin´s cyst or abscess and Dyspareunia after treatment | up to one year after treatment |
Secondary
| Measure | Time frame |
|---|---|
| Wound healing, local burning, sequelae, hospitalisation time | 3-4 weeks after treatment |
Countries
Denmark
Contacts
Primary ContactPinar Bor, MD, Ph.d
Outcome results
None listed