Local redness and swelling of the vaginal opening

Introduction Vestibular gland cysts are common benign cystic lesions. The cyst boundaries are clear and remain unchanged for many years. In the case of concurrent infection, local redness and heat pain, or discharge of pus, effective antibacterial treatment. Chronic inflammation of the vestibular gland is thickened around the tissue and partially tough. When the diagnosis is difficult, it is often necessary to make a diagnosis. The symptoms are mostly caused by infection and tissue lesions around the vagina. Pay attention to the health of the vulva, prevent infection, and actively treat the primary disease that causes local redness and heat pain in the vaginal opening. In addition, the treatment of vaginal mouth local redness and heat pain general drug treatment.

Cause

The cause of local redness, swelling and heat in the vaginal opening:

(1) Causes of the disease: The vestibular gland cyst is formed due to obstruction of the vestibular glandular opening and secretion of the lower gland. The reasons for obstruction of the vestibular gland are:

1. Infection: After the vestibular gland abscess subsides, the pus is absorbed, and the mucus in the gland is thick and blocks the gland.

2. Stenosis or atresia of the lumen: congenital glandular stenosis or atresia, resulting in poor discharge of fluid in the glandular cavity or discharge, resulting in cyst formation.

3. Vestibular glandular duct injury: Individual cases may be due to vaginal, perineal lateral laceration and perineal lateral incision when the damaged gland or perineal side incision healed after the severe scar tissue contraction leading to vestibular glandular obstruction Cyst.

(B) the pathogenesis: the contents of the cyst is a transparent mucus, rarely serous. The cyst is single-atrial, and the puncture can extract a pale yellow transparent mucus. Sometimes mixed with blood and red or brownish red, it is easy to mistake the endometriotic cyst, especially when the wall covered with epithelium contains pseudo-yellow tumor cells, it is more confusing.

The early cystic wall of the cyst covers the transitional epithelium. As the cystic fluid increases and the pressure increases, the transitional epithelium can be transformed into a single layer of cubic epithelium or squamous epithelium, or even atrophy. If the infection is secondary, the wall of the capsule presents with chronic inflammatory connective tissue and even forms granulation tissue.

an examination

Related inspection

Vulvar gynecological routine examination of vaginal cleanliness

The vestibular gland cysts vary in size, mostly from small to small, slow growth, and some may remain unchanged for several years. Mostly single hair, generally no more than the size of the egg, very few sides occur at the same time. If the cyst is small and there is no infection, the patient may have no symptoms and is often found during gynecological examination. If the cyst is large, the patient may feel that the vulva has a sense of bulging and swelling or discomfort.

Check that the cyst is mostly unilateral or bilateral. The appearance of the epidermis was normal. The cyst was located at the lobe of the vestibular gland between the labia and the labial ligament. It was semilunar, oval or round. The cyst was prominently raised on the outside of the labia majora and the affected labia minora was flattened. The cyst is mobile and has no obvious tenderness. When sexual life is frequent, the cysts increase rapidly. In the case of secondary infection, local redness and pain are obvious, the patient has systemic symptoms such as fever, and the cyst can develop into an abscess.

In the women of childbearing age, the cystic mass of the lower unilateral labia majora has no obvious symptoms, and the mucus is puncture. The effect of sexual stimulation on its size is characteristic. Pathological examination can confirm the diagnosis. From the location of the cyst and the appearance or local signs of no inflammation, it is generally not difficult to diagnose. Local puncture is feasible if necessary, and its contents can be differentiated from vestibular gland inflammation and abscess, lymphedema.

Differential diagnosis

Differential diagnosis:

It is distinguished from the labia majora and inguinal hernia: it is connected with the groin ring. It can be reset and disappeared when squeezed. It feels like a lump impulse when coughing. When the breath is down, the mass is slightly swollen, and there is a drum sound. When excessive force is applied, it is often sudden. appear.

It should also be differentiated from vestibular gland inflammation, endometriotic cyst, paraurethral abscess, and lymphedema.

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