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I had a marsupialisation yesterday and would like to explain it for those who may be facing one.
My family physicians first attempt to drain a very large bartholin abcess was unsuccesful. I was immediately prescribed an antibiotoc which did indeed reduce some of the symptoms of infection (fever, pain and swelling.) Apparently the attempt to drain it in a Doctor's office fails about 13% of the time. Warm sitz baths and warm compresses helped with pain but also did not precipitate drainage so off I went to the gynecologist for an exam. He recommended marsupialisation right away which caught me off guard somewhat because it required a hospital visit. The abcess was very large and had more of a banana shape than a round shape. It became bumpy as well.
Friends, do not delay. Go to the gyno as soon as you can. A drained cyst will return almost certainly. The marsupialisation will spare you that and the risk of a bursting gland.
I had to fast for 8 hours and then the operation was done right away.
The procedure was done in an operating room with a staff of three assisting the surgeon. I am 44 and in good health (other than the cyst) and was permitted to choose either full or partial sedation. I chose not to 'go under.' The anaaesthetist put in an intravenous drip into which went some sedative including morphine. The surgeon gave me a local anaesthetic by needle. I did not feel it going in. A sheet was draped across my tummy so that I would not watch. Rod Stewart's \"hot legs\" in muzak style was playing over a loud speaker. I thought that was hilarious given that my legs were being strapped into stirrups in the air and I felt anything but hot and sexy
I could net feel any pain whatsoever but was aware enough to know that the procedure was going well. It was over quickly (about half an hour all in.) Time was irrelevant with the morphine. I was treated very nicely in the recovery area - warm sheets, soft pillow. I drifted in and out of sleep for about an hour. I still had an IV and was hooked up to a monitor. After that I was given a cookie and some juice and some warm wet towels to wipe off the iodine which to my surprise covered my entire abdomen, genitals and part of my legs! I had not felt that being applied. I was not shaved. There was some blood on my bed but not a lot. A sanitary pad was enough to control it by the time I was wiping away the iodine. I still felt no pain.
Within another half hour the staff contacted my family to pick me up. I was given the wrong after care leaflet but since the doctor had promised to phone me in the morning I just left.
About an hour later the local started to wear off and it became painful. I had been given Tylenol 3 which i gladly used. I could walk but was most definately impaired. When I got home I ate heartilly and went to sleep. When I woke I had a look and found swelling, a few blood drops and a small packing of gauze in the \"pouch.\" Not knowing what to do with it I left it in place. ThIs was the right thing to do. Mine was supposed to stay in place for 24 hours.
Today, on the Doctor's instruction, I removed it. It hurt a lot but was over quickly and the subsequent lack of pressure in the wound is making me more comfortable.
For me going back to work right away is out of the question. I called in sick. Unless your employer allows you to take frequent warm bath breaks (3 a day at least) and sit with your hoo hoo in the air and an ice pack on it, don't plan to work right away.
Ice controls the swelling nicely, warm soaks are soothing and I still take the occasional pain reliever. I can look after myself but I won't leave the house for another day or so.
All in all, I feel relieved and on the mend.
Hope this helps any woman who might have trepidation about the surgery.
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