Penatalaksanaan Kista Dan Abses Kelenjar Bartholin

Oleh :

dr. William Alexander Setiawan, SpOG

Penatalaksanaan kista Bartholin tergantung dari manifestasi klinis, diperlukan hanya jika lesi menjadi simtomatik atau terinfeksi. Tujuan penatalaksanaan kista Bartholin adalah memelihara dan mengembalikan fungsi kelenjar Bartholin. Pada kista terinfeksi atau abses Bartholin, pemberian antibiotik jangan ditunda menunggu hasil kultur.[3,10,24]

Terapi Farmakologis

Medikasi diberikan tergantung dari manifestasi klinis, dapat diberikan antipiretik atau antinyeri bila ada keluhan. Pengobatan antibiotik diberikan untuk abses Bartholin karena infeksi sebagian besar disebabkan oleh bakteri. Antibiotik mungkin tidak diperlukan untuk kista yang tidak disertai gejala.

Referensi

1. Heller DS, Bean S. Lesions of the Bartholin Gland: A Review. J Low Genit Tract Dis. 2014 Oct;18(4):351–7.
3. Saeed N, Al-Jufairi Z. Bartholin′s gland abscesses caused by Streptococcus pneumoniae in a primigravida. J Lab Physicians. 2013;5(2):130.
4. Lee MY, Dalpiaz A, Schwamb R, et al. Clinical Pathology of Bartholin’s Glands: A Review of the Literature. Curr Urol. 2014;8(1):22–5.
5. Reif P, Ulrich D, Bjelic-Radisic V, et al. Management of Bartholin’s cyst and abscess using the Word catheter: implementation, recurrence rates and costs. Eur J Obstet Gynecol Reprod Biol. 2015 Jul;190:81–4.
6. Frega A, Schimberni M, Ralli E, et al. Complication and recurrence rate in laser CO2 versus traditional surgery in the treatment of Bartholin’s gland cyst. Arch Gynecol Obstet. 2016 Aug;294(2):303–9.
7. Kroese J, van der Velde M, Morssink L, et al. Word catheter and marsupialisation in women with a cyst or abscess of Bartholin gland (WoMan-trial): a randomised clinical trial. BJOG Int J Obstet Gynaecol. 2017 Jan;124(2):243–9.
8. Boama V, Horton J. Word balloon catheter for Bartholin’s cyst and abscess as an office procedure: clinical time gained. BMC Res Notes. 2016 Dec;9(1):13.
9. Di Donato V, Vena F, Casorelli A, et al. The impact of CO2 laser for treatment of Bartholin’s gland cyst or abscess on female sexual function: a pilot study. Gynecol Endocrinol. 2019 Feb;35(2):150–4.
10. Kilpatrick CC, Alagkiozidis I, Orejuela FJ, et al. Factors complicating surgical management of the vulvar abscess. J Reprod Med. 2010 Apr;55(3–4):139–42.
13. Omole F, Kelsey RC, Phillips K, et al. Bartholin Duct Cyst and Gland Abscess: Office Management. Am Fam Physician. 2019 Jun 15;99(12):760–6.
14. Lilungulu A, Mpondo BCT, Mlwati A, et al. Recurrent Huge Left Bartholin’s Gland Abscess for One Year in a Teenager. Case Rep Infect Dis. 2017;2017:1–3.
17. Heller DS. Lesions of Skene glands and periurethral region: a review. J Low Genit Tract Dis. 2015 Apr;19(2):170–4.
24. Mayeaux EJ, Cooper D. Vulvar procedures: biopsy, bartholin abscess treatment, and condyloma treatment. Obstet Gynecol Clin North Am. 2013 Dec;40(4):759–72.
26. Centers for Disease Control and Prevention, Gonococcal Infections. 2021. Available from: https://www.cdc.gov/std/treatment-guidelines/gonorrhea.htm
27. Centers for Disease Control and Prvention, Chlamydial Infections. 2021. Available from: https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm
28. Mir RA, Kudva IT. Antibiotic-resistant Shiga toxin-producing Escherichia coli: An overview of prevalence and intervention strategies. Zoonoses Public Health. 2019;66(1):1–13.
29. Foster TJ. Antibiotic resistance in Staphylococcus aureus. Current status and future prospects. FEMS Microbiol Rev. 2017 01;41(3):430–49.
30. Bartholin’s cyst - Diagnosis and treatment - Mayo Clinic [Internet]. 2026. Available from: https://www.mayoclinic.org/diseases-conditions/bartholin-cyst/diagnosis-treatment/drc-20369981

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Penatalaksanaan Kista Dan Abses Kelenjar Bartholin

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