CO2 laser treatment for Bartholin gland abscess: ultrasound evaluation of risk recurrence

J Minim Invasive Gynecol. 2013 May-Jun;20(3):346-52. doi: 10.1016/j.jmig.2012.12.003. Epub 2013 Feb 4.


Study objective: To evaluate the efficacy of CO2 laser treatment and parameters correlated with recurrence in patients with Bartholin gland abscesses treated using this approach.

Design: Prospective study (Canadian Task Force classification II-2).

Setting: University hospital.

Patients: One hundred forty-seven patients who met eligibility criteria.

Intervention: Preoperative ultrasound evaluation of Bartholin gland lesions and CO2 laser treatment.

Measurements and main results: All patients received CO2 laser therapy, with median operative time 15 minutes (range, 12-35 minutes). Median postoperative stay was 1 hours (range, 1-4 hours). Estimated 3-year relapse-free rate was 88.56%. Lesion wall thickness 0.5-1.5 mm, multilocular lesion, and hyperechogenic lesion were correlated with recurrence.

Conclusion: CO2 laser of Bartholin gland abscesses could be a valid option. Ultrasound characteristics of Bartholin gland lesions could predict lesion recurrence rate.

MeSH terms

  • Abscess / diagnostic imaging*
  • Abscess / surgery*
  • Adult
  • Bartholin's Glands*
  • Female
  • Humans
  • Laser Therapy*
  • Lasers, Gas / therapeutic use*
  • Middle Aged
  • Prospective Studies
  • Recurrence
  • Risk Assessment
  • Ultrasonography
  • Vaginal Diseases / diagnostic imaging*
  • Vaginal Diseases / surgery*
  • Young Adult