Bartholin’s Cyst and Abscesses in a Tertiary Health Facility in Port Harcourt, South-South Nigeria

 

John C.O, Enyindah C.E  and Okonya O

 

Research Paper I Published October,2015

 

Journal of Medical and Biological Science Research Vol. 1 (8), pp. 107-111

 

ABSTRACT

Cyst or abscess formations of Bartholin’s gland are among common gynecological diseases in emergency departments in both developing and developed countries. To determine the incidence, risk factors and recurrence rate of women who presented with Bartholin’s duct cyst and abscess in the gynaecological department of University of Port-Harcourt Teaching Hospital. A retrospective review of all Bartholin’s duct cysts and abscesses managed at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt over a 5 year period (January 2009 to December 2013). There were 40 cases of Bartholin’s’ duct cyst and abscess out of 2901 gynaecology admissions, giving an incidence of 1.4%. Thirty-eight patient’s case records were available for analysis. Bartholin’s abscess was the commonest diagnosis; occurring in 21(55.3%) of the patient within the study. Left vulva swelling was the commonest presentation accounting for 71% (27). The identified risk factors included; recurrent Bartholin’s gland swelling 14 (36.8%) of the patients, multiple sexual partners 11 (28.9%), previous trauma to mediolateral episiotomies 5 (13.1%) and previous history of sexually transmitted infection 4 (10.5%). Bartholin’s gland cyst and abscess are important common gynaecological diseases which need definite treatment to reduce and prevent recurrence. The patients’ life style and practitioners’ mode of medical practice are known risk factors.

Key words: Bartholin’s Cyst, Abscesses, Port Harcourt, Nigeria, Recurrence and Marsupialization.

Full Text-PDF