BARTOLINITE

Bartholinitis is an inflammation of the large gland of the vestibule (Bartholin gland).

The causative agents of bartholinitis are gonococci and staphylococci, streptococci, Escherichia coli, Trichomonas, etc. Bartholinitis often develops as a result of the passage of a gland of infected secretions from the vagina or urethra into the lumen of the excretory duct.

Clinical picture. One or both Bartholin glands are involved in the pathological process; With gonococcal infection is more often bilateral defeat. Isolate acute and chronic bartholinitis. Acute bartholinitis begins, with inflammation of the excretory duct of the gland. The growth of inflammatory edema leads to the closure of the external opening of the excretory duct, the accumulation of secretion and the formation of a retention cyst. The gland is enlarged, defined as a rounded tumor-like formation in the lower third of the labia majora. The formation of a false or true abscess of the gland is accompanied by a worsening of the patient's condition, an increase in body temperature to 38-39 ° C, and the appearance of pain in the region of the external genital organs, which increases with movement. On the side of the lesion there is a sharply painful tumor-like formation, edema, skin hyperemia. An abscess can open itself spontaneously; While the patient's condition improves, the body temperature decreases, local inflammatory phenomena decrease. Often, the abscess recurs, and the disease can go into a chronic form.

Chronic bartholinitis often occurs latent and is diagnosed with gynecological examination, when a compaction is detected along the course of the excretory duct of the gland or the retention cyst of the gland.

The diagnosis is based on a typical clinical picture, the data of a gynecological examination (examination, palpation of the gland and its excretory duct), bacteriological analysis of the gland secretion.

Treatment. In acute bartolinitis, the initial stages of the disease show bed rest, candles with analgesics, cold on the gland, antibacterial therapy (taking into account the pathogen and its sensitivity to antibiotics). When the patient's condition deteriorates (fever, formation of a gland abscess), hospitalization is necessary. In the hospital, if there is fluctuation, an abscess is opened and then its cavity is drained. With frequent exacerbations, removal of the gland is indicated. With bartholinitis of gonorrhea or trichomonas etiology, specific treatment is performed.

Prevention consists in observing the rules of personal hygiene, the exclusion of casual sexual relations, the timely treatment of vulvitis, colpitis, urethritis.