New Instrument for Office Treatment of Cyst and Abscess of Bartholin's Gland

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Abstract
AN INFLATABLE bulb-tipped catheter was devised to treat a cyst of Bartholin's gland. The successful use of this simple device is based on the age-old principle that a foreign body in a wound that prevents closure will result in the formation of an epithelized fistula or sinus tract. A new permanent orifice to a duct of Bartholin's gland is easily created by making a stab wound in the cyst in the region of the original orifice (Fig, A), inserting the catheter (Fig, B), and inflating the bulb with water (Fig, C). The catheter is left in place until epithelization of the new orifice is complete, which usually takes four to six weeks. In essence, an epithelized fistula is created between the cyst and the vaginal vestibule. After the catheter is removed, the cyst shrinks and becomes a duct again, and the resting gland resumes normal function. This technique has been

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