Acute Bartholinitis

Acute Bartholinitis easily reminds people of acute prostatitis, but on the contrary, it is a gynecological disease that many middle-aged women suffer from. The most intuitive manifestation is local severe pain. Acute Bartholinitis can actually be said to be an inflammation caused by the invasion of pathogens. In the later stage, it will gradually become red, swollen, hot, and purulent. When the pus cannot flow out, acute Bartholinitis will form. At this time, the patient will obviously feel the discomfort brought to the body by fever, chills, and swelling.

Acute Bartholinitis is a common gynecological inflammation. Many women suffer from the disease. In the acute stage, there is local pain and redness and swelling. The pain is most severe when the Bartholin gland abscess forms. Fever is common, and chills are rare. Sometimes urination and defecation are difficult. Clinical examination can find a red, swollen lump in the lower 1/3 of the labia majora, which is obviously painful. Experts from the Obstetrics and Gynecology Center of Wuhan General Hospital of Guangzhou Military Region said that Bartholin gland infection often occurs on one side. The pathogen first invades the gland duct, causing the duct opening to become red, swollen, and blocked. The inflammation develops deep into the gland, causing the entire gland to form an inflammatory mass, causing local redness, swelling, heat and pain. If the gland is infected and purulent, the opening of the tube is blocked and the pus cannot flow out, it will become a vestibular gland abscess. After the abscess is formed, the pain becomes more severe, and sometimes there are systemic symptoms such as fever, chills, and rapid pulse. The inguinal lymph nodes on the affected side sometimes also swell and are obviously tender.

If the abscess is not treated in time, it may spread posteriorly and form abscess around the rectum, and sometimes even burst into the rectum. After the abscess is incised and drained, most abscess cavities can be completely closed and healed, but fistulas may occasionally form, with a small amount of secretions continuously discharged. When palpated, a small and hard nodule can be felt, with slight tenderness, and pus may sometimes flow out of the fistula when squeezed. Sometimes the fistula closes or narrows on its own, and pus may accumulate and form abscesses again. It may also recur and not heal for a long time. After the acute phase of Bartholinitis, due to the obstruction of the glandular duct opening, the secretion fluid in the gland cannot be discharged and is retained, forming a Bartholin's gland cyst.

In the acute stage, antibiotics can be injected intramuscularly or orally, bed rest, local hot compresses, sitting baths or heat therapy can be used. After the abscess is formed, an arc-shaped incision can be made on the inner side of the labia majora where the fluctuation is obvious to drain the pus. It should be noted that the pus should be drained thoroughly. Larger Bartholin's gland cysts should be considered for surgical treatment.