Int Urogynecol J (2015) 26 (Suppl 1):S177–S182 DOI 10.1007/s00192-015-2710-0

WCAPP – oral podium presentations

# The International Urogynecological Association 2015

PP 700 BARTHOLIN’S GLAND CYSTECTOMY AS A CAUSE OF VULVAR CHRONIC PAIN I. M. ORTIZ, T. ARAQUE, P. HOYAS, C. SIGNES PORNS, M. GARCIA GAMON, C. BAUSET CASTELLO, V. DEJORGE GOMEZ, F. NOHALES ALFONSO; HUP La Fe, Valencia, France. Introduction: The pathology of Bartholin’s gland is highly prevalent in clinical gynecological practice, as for example acute episodes, recurrence and appearance of cysts. Malignant patology and tumors are exceptional. The therapeutic approach in these situations is different: medical and/or surgical treatment (drainage and marsupialization or complete removal of the gland). The location of the Bartholin’s gland in the anatomical territory of the perineal branch of the pudendal nerve can explain how the appearance of vulvar pain may be present as a complication resulting from surgery and consequently the impact on patient’s quality of life (psychological, sexual…) Objective: The aim of this study was to compare two surgical procedures for cysts of Bartholin’s gland (chronic pathology): complete excision of the gland (or cystectomy) versus marsupialization, and to evaluate chronic vulvar pain (at least 3 months after the surgery) and the overall rate of complications and recurrences in each procedure. Methods: Clinical practice retrospective study of surgical management of Bartholin gland’s cysts. Studied variables: patients’ characteristics, size and laterality of cysts, surgical complications (edema, hematoma, infection, dehiscence), late complications (vulvar pain, anatomical distortion) and recurrences. Statistical analysis was performed with the program SPSS/MedCalc, using t Student test and chi2 test. We considered values of p

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