Marsupialisation of a Bartholin’s Cyst
Marsupialisation is a minor surgical procedure used to drain a Bartholin’s cyst and reduce the likelihood of it returning. The edges of the cyst wall are stitched to the surrounding skin to create a small, lasting opening. This allows the gland to drain naturally and helps prevent fluid from building up again.
When the Procedure May Be Recommended
A common emergency treatment for a painful abscess is incision and drainage (I&D). This procedure releases the trapped fluid and provides immediate relief.
However, the small incision can close as the area heals. When this happens, the gland may become blocked again, allowing another cyst to form. For women experiencing recurrent Bartholin’s cysts, marsupialisation is often recommended.
What to Expect
Consultation, assessment and planning
Your consultation with Mr Richard Flint will include an examination and discussion about your symptoms, medical history, and treatment options. If recurrent cysts are present, marsupialisation may be recommended.
The operation
Marsupialisation is usually performed as a day-case procedure, often under general anaesthetic. The operation typically takes around 20–30 minutes. During the procedure:
A small incision is made in the cyst.
The trapped fluid is drained.
The edges of the cyst wall are stitched to the surrounding skin.
This creates a small permanent opening that allows the gland to drain naturally.
Recovery
Most patients return home the same day. Mild discomfort and light bleeding for a few days are common. Helpful recovery measures include:
Taking simple pain relief such as paracetamol or ibuprofen
Warm sitz baths to keep the area clean and promote healing
Wearing loose clothing
Patients are usually advised to avoid tampons, sexual intercourse, and swimming for around 4–6 weeks while healing takes place.
Frequently Asked Questions
Is marsupialisation painful?
The procedure is performed under anaesthetic, so you will not feel pain during surgery. Post-operative discomfort is usually mild and manageable with simple pain relief.
Will the cyst come back?
Marsupialisation is considered an effective treatment for recurrent Bartholin’s cysts. While recurrence is uncommon, it can occasionally happen.
When can I return to normal activities?
Most women can return to light daily activities within a few days, although full healing typically takes several weeks.
If you are experiencing recurrent Bartholin’s cysts or abscesses, specialist assessment can help determine the most appropriate treatment.
Mr Richard Flint provides expert diagnosis and surgical management of Bartholin’s cysts, including marsupialisation, with the aim of providing lasting relief and preventing recurrence.