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ANSWER from experts
In most cases the Bartholin cyst removal will be recommended if you have infected Bartholin cyst and/or Bartholin abscess. Usually women with infected Bartholin cyst seek emergency care because of acute pain. Women who are experiencing severe pain or who cannot sit or walk comfortably should see a doctor as soon as possible. Although symptoms such as high fever and abdominal pain usually are not caused by Bartholin abscess but surgical intervention is needed in most cases.
Surgical removal of the bartholin cyst called “marsupialization”.
For large and painful infected Bartholin cyst (abscess) usually treatment includes the drainage. An abscess is an infection within an enclosed space and in most cases antibiotics do not adequately enter into the enclosed space. Therefore, treatment of an abscess almost always requires that the infection be drained.
During marsupialization of the infected Bartholin cyst the surgeon opens wide the wall of the abscess and allows the purulent exudates to drain. The membrane of the abscess is then sutured to the vaginal mucosa and to the skin of the introitus in order to effect granulation and re-epithelialization of the wound from the bottom of the abscess to the top.
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