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Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs


, : Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs. European Journal of Obstetrics, Gynecology, and Reproductive Biology 190(): 81-84

Bartholin's cysts and abscesses occur in about 2% of women. None of the surgical or conservative treatment approaches have been proven to be superior. The Word catheter is an outpatient treatment option, but little is known about aspects of implementing this therapy in an office setting. The present study's focus is on recurrence rates and organizational requirements of implementing outpatient treatment of Bartholin's cyst and abscess and compares costs of Word catheter treatment and marsupialization. Between March 2013 and May 2014 30 women were included in the study. We measured time consumed for treatment and follow-up and analyzed costs using the Word catheter and marsupialization under general anesthesia. We also assessed the ease of use of the Word catheter for application and removal using a standardized visual analog scale (VAS 1-10). Word catheter treatment was successful in 26/30 cases (87%). Balloon loss before the end of the 4-week treatment period occurred in 11/26 cases with a mean residence time of 19.1 (±10.0) days. None of the patients with early catheter loss developed recurrent cyst or abscess. Recurrence occurred in 1/26 cases (3.8%). Difficulty-score of application was 2 [1-10] and of removal 1 [1], respectively. Costs were € 216 for the treatment in the clinic as compared with € 1584/€ 1282 for surgical marsupialization with a one-night stay or daycare clinic, respectively. The present study indicates that the Word catheter is an easy to handle, low cost outpatient procedure with acceptable short-term recurrence rates. Treatment costs are seven times lower than for marsupialization.

US$19.90

PMID: 25963974

DOI: 10.1016/j.ejogrb.2015.04.008


Other references

Garrett J.R.; Harrison J.D.; Kidd A.; Kyriacou K.; Smith R.E., 1983: Kallikrein like activity in human salivary glands and colon including mast cells. Journal of Physiology (Cambridge) 334: 78P

Fredenburgh, L.E.; Kraft, B.D.; Hess, D.R.; Harris, R.Scott.; Wolf, M.A.; Suliman, H.B.; Roggli, V.L.; Davies, J.D.; Winkler, T.; Stenzler, A.; Baron, R.M.; Thompson, B.Taylor.; Choi, A.M.; Welty-Wolf, K.E.; Piantadosi, C.A., 2016: Effects of inhaled CO administration on acute lung injury in baboons with pneumococcal pneumonia. Inhaled carbon monoxide (CO) gas has therapeutic potential for patients with acute respiratory distress syndrome if a safe, evidence-based dosing strategy and a ventilator-compatible CO delivery system can be developed. In this study, we used a cl...

Kluetz, P.G.; Pazdur, R., 2016: Looking to the future in an unprecedented time for cancer drug development. Basic research in cancer biology, genetics and immunology has resulted in improved insights into mechanisms that drive tumor initiation and growth. This improved biologic understanding of the diseases we treat has led to unprecedented therapeutic...

Castorina, S.; Marcello, M.F., 1993: Morphological aspects of the epithelium of the trigone of the human urinary bladder: immunohistochemical findings and histogenetic features. An immunohistochemical method was used to study the structural characteristics of the epithelium of the bladder trigone in 20 premenopausal women. Fragments of mucosa were obtained by cystoscopy from the trigones of the 20 subjects. Monoclonal ant...

Ghose A.K.; Bhattacharyya J., 1988: Central Indian Ocean as a manganese nodule mine site; a critical appraisal. Journal of Mines, Metals and Fuels 36(6): 330-337

Acosta-Gallegos, J.; Rosales-Serna, R.G.rza-Garcia, R., 1992: Resistance to the pod weevil in wild Phaseolus vulgaris. Annual report of the Bean Improvement Cooperative5(35): 103-104

van der Hoef, M.; Crook, D.W.; Marincek, B.; Weishaupt, D., 2004: Primary neuroendocrine tumors of the liver: MRI features in two cases. We report on two patients who underwent magnetic resonance imaging (MRI) as part of the evaluation of focal liver lesions. Both lesions had completely different MRI appearances, showing characteristics of benign and malignant liver lesions. Neithe...

Clark, D.A.; Bursztyn, L.; Horowitz, M.A.; Schnitzer, M.J.; Clandinin, T.R., 2011: Defining the computational structure of the motion detector in Drosophila. Many animals rely on visual motion detection for survival. Motion information is extracted from spatiotemporal intensity patterns on the retina, a paradigmatic neural computation. A phenomenological model, the Hassenstein-Reichardt correlator (HRC...

Araki, S.; Sakurai, T.; Izumino, Y.; Takahashi, K., 1996: 5'-Inosinic acid content and its enzymatic increase in dried nori, Porphyra yezoensis, a red alga. The contents of 5'-inosinic acid (5'IMP) in dried and toasted nori, sheet-like products of Porphyra yezoensis (a red alga), were measured with HPLC from the standpoint of an enzymatic increase in them, and the following facts were observ...

Liebman, R.; Srikantaswamy, S., 1981: Adrenal myelolipoma demonstrated by computed tomography. Journal of Computer Assisted Tomography 5(2): 262-263