{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:18:22Z","timestamp":1791566302867,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,2,4]],"date-time":"2020-02-04T00:00:00Z","timestamp":1580774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>No consensus on the management of symptomatic cysts or abscesses of the Bartholin\u2019s gland exists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the effectiveness and safety of surgical interventions for a symptomatic Bartholin\u2019s cyst or abscess.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search Strategy<\/jats:title><jats:p>We searched bibliographical databases from inception to April 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection Criteria<\/jats:title><jats:p>Randomised trials evaluating a surgical intervention for the treatment of a symptomatic Bartholin\u2019s cyst or abscess.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection and Analysis<\/jats:title><jats:p>Eight trials, reporting data from 699 women, were included. Study characteristics and methodological quality were recorded for each trial. Summary estimates were calculated using random\u2010effects methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Results<\/jats:title><jats:p>When considering the recurrence of a symptomatic Bartholin\u2019s cyst or abscess, the evidence was consistent with notable effects in either direction (risk ratio [RR] 0.76; 95% confidence interval [CI] 0.41\u20131.40) when comparing marsupialisation with incision, drainage and insertion of a Word catheter. Limited inference could be made when comparing marsupialisation with incision, drainage and silver nitrate insertion (RR 1.00; 95% CI 0.57\u20131.75), and incision, drainage and cavity closure (RR 0.25; 95% CI 0.01\u20134.89). There was limited reporting of secondary outcomes, including haematoma, infectious morbidity and persistent dyspareunia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Current randomised trial evidence does not support the use of any single surgical intervention for the treatment of a symptomatic cyst or abscess of the Bartholin\u2019s gland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Prospective Registration<\/jats:title><jats:p>PROSPERO: International Prospective Register of Systematic Reviews; CRD42018088553.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable Abstract<\/jats:title><jats:p>Further research is needed to identify an effective treatment for #Bartholin\u2019s cyst or abscess. @jamesmnduffy<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16079","type":"journal-article","created":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T13:39:25Z","timestamp":1577367565000},"page":"671-678","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Evaluation of treatments for Bartholin\u2019s cyst or abscess: a systematic review"],"prefix":"10.1111","volume":"127","author":[{"given":"BJG","family":"Illingworth","sequence":"first","affiliation":[{"name":"North West Anglia NHS Foundation Trust Peterborough City Hospital Peterborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Stocking","sequence":"additional","affiliation":[{"name":"Centre for Biostatistics Division of Population Health Health Services Research and Primary Care University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Showell","sequence":"additional","affiliation":[{"name":"Cochrane Gynaecology and Fertility Group University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Kirk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Free London NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6127-9859","authenticated-orcid":false,"given":"JMN","family":"Duffy","sequence":"additional","affiliation":[{"name":"Institute for Women\u2019s Health University College London London UK"},{"name":"Barking, Havering and Redbridge University Hospitals NHS Trust Essex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182699259"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00128360-200407000-00006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000365683"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2013.02.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.43.8.4258-4261.2005"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610701269192"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e31819f9c76"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(95)00134-4"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14694"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349209007949"},{"key":"e_1_2_6_13_1","first-page":"60","article-title":"Marsupialization of Bartholin's cyst and abscesses a comparison of interrupted versus continuous suturing","volume":"41","author":"Fletcher H","year":"1992","journal-title":"Wet Indian Med J"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2005.02.033"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(03)00241-0"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14281"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2018.10.015"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0301-2115(95)02229-Z"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2008.10.006"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2010.505672"},{"issue":"5","key":"e_1_2_6_21_1","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1097\/00006250-199011000-00043","article-title":"Septic shock complicating drainage of a Bartholin gland abscess","volume":"76","author":"Lopez\u2010Zeno JA","year":"1990","journal-title":"Obstet Gynecol"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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