Trial Information

The Treatment of Bartholin´s Cyst or Abscess With Silver Nitrate

Background and objective:

Bartholin gland cysts and abscesses are common problems in women of reproductive age. The
traditional treatment of Bartholin´s cyst or abscess is marsupialization, which has
disadvantages, such as pain of long duration, scarring, risk of general anaesthesia and risk
of recurrence. In the present study we use silver nitrate in the treatment of Bartholin's
cyst or abscess and compare to marsupialization. We expect lower healing time, lower
recurrence rate and less pain with the silver nitrate treatment.

Methods and materials:

30 patients with Bartholin´s cyst or abscess will be investigated. It is prospective
randomized study. The silver nitrate treatment is performed under local anaesthesia on an
outpatient basis. A simple vertical incision 1 cm in length is made in the vaginal mucosa
and the underlying cyst or abscess wall. A crystalloid silver nitrate stick of 5 mm in
diameter and 5 mm in length is inserted into the cyst or abscess cavity.

The standard marsupialization treatment is performed under general anaesthesia.