American Journal of Obstetrics & Gynecology
Volume 200, Issue 6 , Pages 688.e1-688.e6, June 2009

Incidence of Bartholin's duct occlusion after superficial localized vestibulectomy

Presented at the 75th Annual Meeting of the Pacific Coast Obstetrical and Gynecological Society, Victoria, BC, Canada, Oct. 15-19, 2008.

Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR

Received 22 September 2008; accepted 26 February 2009. published online 20 April 2009.

Objective

The objective of the study was to analyze the incidence of occlusion of Bartholin's ducts after the procedure of superficial localized vestibulectomy for severe vulvar vestibulitis.

Study Design

One hundred fifty-five women underwent modified superficial vestibulectomy for severe primary or secondary vestibulitis between 1989 and 2007. Charts were reviewed and data were calculated regarding occlusion of Bartholin's ducts. Database software was FileMaker Pro 5 (FileMaker, Inc, Santa Clara, CA). SPSS 16.0 (SPSS, Inc, Chicago, IL) calculated means.

Results

Fourteen of 155 women (9%) had small blisters noted at a Bartholin's duct site after healing. Of these, 6 (43%) noted local symptoms related to sexual arousal. Surgical unroofing was attempted in 8 (62%) and corrected symptoms in all but 1. The subject with remaining symptoms notes deep pain with arousal suggestive of Bartholin's adenitis.

Conclusion

The incidence of duct ostium occlusion after superficial modified vestibulectomy was 9%, and only half had symptoms. Methods of surgical treatment of the occlusion are compared.

Key words: Bartholin's duct occlusion, vestibulectomy, vestibulodynia

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 Reprints not available from the author.

 Cite this article as: Goetsch MF. Incidence of Bartholin's duct occlusion after superficial localized vestibulectomy. Am J Obstet Gynecol 2009;200:688.e1-688.e6.

PII: S0002-9378(09)00228-2

doi:10.1016/j.ajog.2009.02.037

American Journal of Obstetrics & Gynecology
Volume 200, Issue 6 , Pages 688.e1-688.e6, June 2009

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