Monday 9 December 2013

Bartholin glands

Bartholin glands are compound racemose glands.
Usually they will be in pea size.
Located slightly posterior and at the left and right openings of the vagina at 4° clock and 8° clock positions.
That will come at the level of upper two thirds and lower one third of labia minora.
They will present in superficial perineal pouch.
The acini in the gland will be lined by mucinous columnar cells.
They are homologous to bulbourethral glands in males.




Duct of the Bartholin gland will be around 1.5 to 2 cms length.
opens at the fossa navicularis or fossa of vestibule of vagina.
It is the grove between vaginal opening and hymen.
The duct will be lined by transitional epithelium.

Function: Bartholin gland secretions helps in maintaining the the moisture of vaginal epithelium.
They helps for lubrication during intercourse.

Pathology :
When the duct of the gland gets blocked, it will form bartholin cyst.
When the gland gets distended that will be lined by simple columnar epithelium.
Enlarged bartholin cyst will present as swelling near the vaginal opening, sometimes involving the labia minora.

If the cyst gets infected it will form abscess.

Antibiotic course with analgesic and anti - inflammatory drugs can treat the condition.
In case of repeated bartholin abscess, marsupalization may be needed.
Sitz bath helps in relieving the symptoms.


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