Diseases of Bartholin's gland
Chapter 14:Diseases of the genitourinary system
ICD-10 N75 is a billable code used to indicate a diagnosis of diseases of bartholin's gland.
Diseases of Bartholin's gland encompass a range of conditions affecting the Bartholin's glands, which are located bilaterally at the posterior portion of the vaginal opening. These glands are responsible for secreting mucus to lubricate the vagina. Common disorders include Bartholin's cysts, which occur when the duct of the gland becomes obstructed, leading to fluid accumulation. Inflammation or infection of the gland, known as Bartholin's gland abscess, can also occur, often presenting with pain, swelling, and discomfort during intercourse. Vulvovaginitis, an inflammation of the vulva and vagina, can be associated with Bartholin's gland disorders, particularly when there is an underlying infection. The clinical presentation may vary from asymptomatic cysts to acute pain and systemic symptoms in the case of abscess formation. Diagnosis typically involves a physical examination, and imaging may be used to assess the size and nature of the cyst or abscess. Treatment options range from conservative management, such as warm compresses and sitz baths, to surgical intervention for drainage or excision in more severe cases. Understanding these conditions is crucial for accurate coding and appropriate management.
Detailed documentation of symptoms, physical examination findings, and treatment plans.
Management of Bartholin's cysts, abscess drainage, and treatment of vulvovaginitis.
Ensure accurate differentiation between cysts and abscesses for proper coding.
Comprehensive history and physical examination, including patient-reported symptoms.
Initial evaluation of vulvar pain or swelling, referral to specialists.
Document any referrals and follow-up care to ensure continuity of care.
Used when a patient presents with a Bartholin's gland abscess requiring surgical intervention.
Document the indication for the procedure, findings during the procedure, and post-operative care.
Gynecologists should ensure proper coding for the procedure based on the complexity and any complications.
A Bartholin's cyst is a fluid-filled sac that forms when the duct of the gland is blocked, often asymptomatic. An abscess occurs when the cyst becomes infected, leading to pain, swelling, and systemic symptoms.
