Acute Bartholin's gland abscess treatment by simple needle aspiration: A prospective study. (September 2022)

• Record Type: Journal Article
• Authors: Charavil, Axelle; Miquel, Laura; Tourette, Claire; Pivano, Audrey; Castel, Pierre; Crochet, Patrice; Agostini, Aubert
• Is Part Of: European journal of obstetrics, gynecology, and reproductive biology. Volume 276(2022)
• Page Start: 92
• Page End: 97
• Publication Date: 2022-09
• Subjects: RR Relative risk -- CI Confidence interval; Acute Bartholin's gland abscess -- Simple needle aspiration -- Incision and drainage; Obstetrics -- Periodicals; Gynecology -- Periodicals; Reproductive health -- Periodicals; Gynecology -- Periodicals; Obstetrics -- Periodicals; Reproduction -- Periodicals; Obstétrique -- Périodiques; Gynécologie -- Périodiques; Reproduction -- Périodiques; Verloskunde; Gynaecologie; Voortplanting (biologie); Gynecology; Obstetrics; Reproduction; Electronic journals; Periodicals; Electronic journals; 618.05
• DOI: 10.1016/j.ejogrb.2022.06.026
• Languages: English
• ISSNs: 0301-2115

Abstract

Highlights: Acute Bartholin's gland abscess is a common pathology that affects between 1% and 3% of women. The needle aspiration can be offered as first-line treatment to avoid surgery. The needle aspiration avoids surgery in half of the cases. Abstract: Objective: This study aim was to examine the success rate of simple needle aspiration for acute Bartholin's gland abscess and compare it to incision and drainage treatment. Study design: This was a non-randomised prospective study conducted at the academic Hospital of La Conception, Marseille, France. We included 202 women who presented with acute Bartholin's gland abscess between June 2013 and October 2017. The study cohort was subdivided into two treatment groups, simple needle aspiration (134 women) or incision and drainage (42 women), according to the women's preference. Success was considered as the absence of surgical treatment within one year of the initial treatment. Results: The success rate was 68/134 (51% (95% CI: 42–59%)) in the simple needle aspiration group and 25/42 (60%) in the incision drainage group (RR: 0.85, 95% CI: 0.63–1.15, P = 0.3). Among 122/134 (91%) women who completed the satisfaction survey, 99/122 (81%) were satisfied with the simple needle aspiration. Conclusions: Simple needle aspiration can be offered as first-line treatment for acute Bartholin's gland abscess. Simple needle aspiration can be performed as an outpatient procedure without general anesthesia avoiding surgical treatment in half of the cases one-year post- simple needle aspiration.