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Bartholin Abscess — SCE Infectious Diseases MCQ

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EasySTIsBartholin AbscessSCE Infectious Diseases

A 25-year-old woman presents with a tender, fluctuant Bartholin abscess. She is systemically well. What is the most appropriate management?

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Correct answer: C — Incision, drainage, and insertion of a Word catheter (or marsupialisation); swab for culture including NAAT for STIs

Bartholin abscess requires incision and drainage. A Word balloon catheter should be inserted to maintain drainage and create an epithelialised tract (fistula), preventing recurrence. Marsupialisation is an alternative. Swabs should be sent for aerobic, anaerobic culture, and STI NAAT (Chlamydia and Gonorrhoea). Antibiotics are only indicated if there is surrounding cellulitis or sepsis. Needle aspiration alone has high recurrence rates. Excision of the Bartholin gland is reserved for recurrent abscesses.

Reference: BASHH 2019 – Bartholin abscess; NICE CKS 2024 – Bartholin cyst/abscess