Vulval Surgery

Bartholin’s cyst

A Bartholin's cyst, also called a Bartholin's duct cyst, is a small fluid-filled sac just inside the opening of a woman's vagina. If the cyst becomes infected, it can cause a painful collection of pus (abscess) which may need surgical intervention.

It can be treated with either:
Marsupialisation of Bartholin’s cyst.
Excision of Bartholin’s cyst/abscess.

Lumps and bumps
Lumps and bumps of the vulva may need to be excised if they are causing discomfort or pain. Common conditions include genital warts, inclusion cyst or sebaceous cyst. Rarely it may be due to cancer and thus biopsy and complete excision may be necessary to establish a definitive diagnosis. This may be performed either with local or general anaesthesia.

Labial reduction
Labial reduction or labiaplasty is surgery to reduce the size of the labia minora – the flaps of skin either side of the vaginal opening. Some women consider having a labiaplasty because they don't like the look of their labia, or because the labia cause discomfort. This is performed under general anaesthesia.