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Incision & Drainage for a Bartholin's Cyst

Incision & Drainage in Denver
A Bartholin's cyst is a small, fluid-filled sac that develops in one of the Bartholin's glands, which are located on either side of the opening of the vagina. These glands produce a small amount of lubricating fluid that helps to keep the vaginal area moist.
When these cysts occur, they often go away on their own without treatment. Sometimes, they can grow very large or become infected. In these cases, the Women’s Health Group can remove the cyst using a procedure known as incision and drainage (I&D).
Signs and Symptoms of a Bartholin’s Cyst
Bartholin's cysts are usually painless and do not cause any symptoms. However, they can sometimes become infected and cause pain or swelling in the vaginal area. This is known as a Bartholin's abscess. Cysts that are very large or infected may need to be treated using incision and drainage (I&D).
When you have a Bartholin’s abscess, you may notice:




What Is Incision & Drainage?
Incision and drainage (I&D) is a surgical procedure in which a healthcare provider makes a small incision in the skin over an abscess or infected area and removes the pus or infected material. I&D is typically performed to treat an abscess, which is a collection of pus that has built up in a confined area, such as a boil or a wound.
We use I&D to treat a Bartholin’s abscess that has enlarged or become infected. Benefits of an I&D include:
- Faster healing
- Reduced pain
- Less inflammation

What to Expect During an Incision & Drainage
To drain a Bartholin’s cyst using an I&D procedure, we will use either local anesthesia or sedation to ensure your comfort.
- We will make a small incision in the skin over the abscess or infected area.
- We will use a small instrument, such as a needle or scalpel, to remove the pus or infected material.
- The wound may be packed with gauze to help drain any remaining pus and stitched, if necessary.
After the procedure, you will be monitored until the anesthesia wears off. You may feel some discomfort or pain at the site of the incision, but this can usually be managed with over-the-counter pain medication or as directed by your doctor. Follow your doctor's instructions for any post-procedure care, such as taking medications or avoiding certain activities. You may also need to schedule a follow-up appointment to ensure that the infection has cleared up and the wound is healing properly.
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