The Treatment of Bartholin´s Cyst or Abscess With Silver Nitrate

Study Overview
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Brief Summary
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Silver nitrate treatment of Bartholin's cyst or abscess will be compared to marsupialization treatment. It is expected that silver nitrate treatment is effective, simple, inexpensive and the least anaesthetic requiring procedure, which can easily be carried out in the outpatient setting.

Detailed Description
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Background and objective: Bartholin gland cysts and abscesses are common problems in women of reproductive age. The traditional treatment of Bartholin´s cyst or abscess is marsupialization, which has disadvantages, such as pain of long duration, scarring, risk of general anaesthesia and risk of recurrence. In the present study we use silver nitrate in the treatment of Bartholin's cyst or abscess and compare to marsupialization. We expect lower healing time, lower recurrence rate and less pain with the silver nitrate treatment. Methods and materials: 30 patients with Bartholin´s cyst or abscess will be investigated. It is prospective randomized study. The silver nitrate treatment is performed under local anaesthesia on an outpatient basis. A simple vertical incision 1 cm in length is made in the vaginal mucosa and the underlying cyst or abscess wall. A crystalloid silver nitrate stick of 5 mm in diameter and 5 mm in length is inserted into the cyst or abscess cavity. The standard marsupialization treatment is performed under general anaesthesia.

Official Title
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The Treatment of Bartholin´s Cyst or Abscess With Silver Nitrate

Conditions
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Bartholin´s Cyst

Intervention / Treatment
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* Procedure: silver nitrate application to the Bartholin´s cyst
* Procedure: silver nitrat stick


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women with a age of 18-60 years Should read and understand Danish All women inclusive pregnant should have a Bartholins cyst or abscess Exclusion Criteria: Subject who cannot give written informed consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: silver nitrate application to the Bartholin´s cyst|5 mm in diameter and 5 mm in length crystalloid silver nitrate stick is inserted into the cyst or abscess cavity.|
|Procedure: silver nitrat stick|The silver nitrate treatment is performed under local anaesthesia on an outpatient basis. A simple vertical incision 1 cm in length is made in the vaginal mucosa and the underlying cyst or abscess wall. A crystalloid silver nitrate stick of 5 mm in diameter and 5 mm in length is inserted into the cyst or abscess cavity.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recidive of bartholin´s cyst or abscess and Dyspareunia after treatment |  | up to one year after treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Wound healing, local burning, sequelae, hospitalisation time |  | 3-4 weeks after treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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silver nitrate, marsupialisation