Guidelines

What type of catheter is used for Bartholin cyst?

What type of catheter is used for Bartholin cyst?

A Word catheter is commonly used to treat Bartholin’s duct cysts and gland abscesses. 12 The stem of this rubber catheter is 1 inch long and the diameter of a no. 10 French Foley catheter. The small, inflatable balloon tip of the Word catheter can hold about 3 mL of saline (Figure 3).

How long does catheter stay in Bartholin cyst?

The catheter stays in, usually for up to 4 weeks, to allow epithelialisation of the tract, after which it is deflated and removed.

How do they remove a catheter from a Bartholin cyst?

Your doctor may have put a small rubber tube, called a catheter, in the cut (incision). The catheter keeps the area open so fluid can drain out of it. Your doctor will likely remove the catheter in about 4 weeks. But the catheter may fall out on its own.

How do you use a Bartholin gland catheter?

Procedure

  1. Sterilize area with sterilizing solution.
  2. Inject local anesthetic in to the area that you are going to stab for the incision ~1-3cc.
  3. Stab the cyst or abscess.
  4. Drain the cyst/abscess and breakup any loculations with the haemostat.
  5. Place the ward catheter into the incision and inflate with 2-3cc of water.

How is a balloon catheter inserted for Bartholin?

A tissue specimen (biopsy) and/or swab may be taken to test for neoplasia and/or infection (including sexually transmitted diseases). The abscess or cyst is drained. 2.2.3 A specially designed balloon catheter is inserted into the abscess or cyst cavity through the incision, and the balloon is inflated with saline to secure it in place.

How are word catheters used to treat Bartholin’s cyst?

Bartholin’s cysts and abscesses are best treated using a Word catheter to induce the formation of an epithelialized tract from the vulvar vestibule to the cyst. This allows continued functioning of the Bartholin’s gland, proper drainage, and minimal recurrence. The recurrence rate using this technique is between 2% and 15%.

How is a balloon catheter inserted into an abscess?

The abscess or cyst is drained. 2.2.3 A specially designed balloon catheter is inserted into the abscess or cyst cavity through the incision, and the balloon is inflated with saline to secure it in place. If pain persists after the balloon is inflated, it is partially deflated, leaving enough fluid to keep the catheter in position.

What is the aim of a balloon catheter insertion?

2.2.1 The aim of the procedure is to establish drainage of the abscess or cyst by creating a fistula or sinus track that will remain open in the long term. The underlying principle is that a foreign body reaction (to the balloon and catheter) induces formation of an epithelialised fistula.