Supplies needed:

• latex word catheter
• sterile water
• needle and syringe
• I and D kit

Procedure:

• Test the catheter: insert the needle tip into the non balloon end of the catheter, instill approx 3 - 5 cc of sterile water. If balloon functioning properly, withdraw the water into the syringe.
• After appropriate anesthesia, perform incision and drainage of the cyst/abscess.
• Be careful not to make a very large incision as the catheter may fall out after placement
• Insert the word catheter into the tract
• Instill 3-5 cc of sterile water
• Apply very gentle traction to ensure catheter will remain in place
• If patient prefers, advise them to tuck the distal end of the catheter into vagina for comfort

Additional management:

• Remains in place for 2 - 4 weeks
• In general, treat elderly with antibiotics
• All patients require gynecology follow up
• > 40 may need malignancy work up