Which specialist performs Bartholin cyst marsupialisation?

A Bartholin cyst forms near the opening of the vagina when a gland duct becomes blocked. Marsupialisation is a gynaecological procedure that opens the cyst and creates an opening that can continue to drain, rather than closing immediately. The OB-GYN examines the area, discusses anaesthesia and checks whether another approach is more appropriate. A sample may be considered when the appearance, symptoms or age-related factors make further assessment useful.

The procedure is usually planned after an examination and discussion of symptoms. Your clinician can explain wound care, expected discharge and how soon sexual activity, bathing or strenuous activity may need to be modified.

Arrange an appointment with an OB-GYN if a painful lump, repeated swelling or discomfort near the vaginal opening is affecting you. Do not squeeze or puncture the area yourself. Bring a list of medicines and allergies, and mention pregnancy, diabetes, immune conditions or previous cyst treatment. Ask whether the procedure is done with local or general anaesthesia, how the opening will be cared for and when follow-up is planned. The linked treatment page gives more detail about the procedure.

Seek prompt medical assessment for rapidly increasing swelling, severe pain, fever, spreading redness, difficulty sitting or walking, or trouble passing urine. These features can occur with an infected or enlarging cyst and need examination. If you feel faint, confused or severely unwell, use urgent services. A clinician may need to drain an abscess or choose a different treatment rather than waiting for a planned procedure.

Ask: Is marsupialisation suitable for this cyst? Could it be an abscess or another type of lump? Which anaesthetic will be used? How should I wash and protect the area? When can I return to usual activities? What symptoms should trigger an earlier review?