Bartholinitis Almaty

Bartholinitis

Bartholinitis is an acute purulent inflammation of the Bartholin’s gland. The Bartholin glands, also known as the greater vestibular glands, are situated at the vestibule of the labia majora. The secretion produced by the Bartholin glands helps maintain normal vaginal moisture.

Reasons

Factors contributing to the occurrence of bartholinitis are:

• non-compliance with personal hygiene practices;
• the presence of infectious diseases of the genitourinary tract.

The infection enters the excretory ducts of the bartholin’s glands from the lumen of the vagina or urethra.

Symptoms

The main symptoms of Bartholinitis include pain, redness, and the presence of a purulent infection. A large, dense infiltrate is detected in the thickness of the labia majora, and pressing on it causes severe pain. Additionally, symptoms of general intoxication may be present, such as fever, weakness, and headache. The abscess can spontaneously rupture, leading to the discharge of a substantial amount of thick pus. Although the patient may experience a normalization of condition, a decrease in body temperature, and a significant reduction in pain after the abscess opens, such improvements are not indicative of complete recovery. In the absence of adequate treatment, acute inflammation can progress to a chronic condition, which poses greater challenges in terms of treatment and prognosis.

Diagnostic

The diagnosis of Bartholinitis is typically straightforward and is based on a gynecological examination of the patient. In rare cases, ultrasound may be necessary.

Treatment

Treatment is operative, by opening the abscess in stationary conditions.