A minimal invasive management of Recurrent Bartholin Cyst by Kshara Karma - A Case Report

Abstract

When the ducts of the Bartholin glands become blocked. Bartholin cyst is formed, leading to swelling and discomfort in the vaginal region. Though most Bartholin cysts are asymptomatic, they can cause significant pain and complications, especially when infected. This case report discusses the management of a recurrent Bartholin cyst in a 37-year-old female patient with a history of multiple surgeries for the same. The patient presented with swelling, pain, and difficulty in daily activities due to a recurrent cyst on the right labia majora. Previous treatments had included excision and marsupialization, but the cyst recurred multiple times despite medical management. Given the patient's unwillingness to undergo further invasive surgical procedures, an Ayurvedic approach using Pratisaraneeya Kshara Karma was chosen. The treatment involved Bhedana (Incision) and Visravana (Drainage) followed by the application of Palasha Teekshna Kshara. The procedure was minimally invasive, with no complications, and the patient experienced significant relief. No recurrence was noted after six months, suggesting Kshara Karma as a promising alternative to traditional surgery for managing recurrent Bartholin cysts. Further studies are needed to evaluate its long-term effectiveness and cosmetic outcomes.