Which medications in the drug class Anesthetics are used in the treatment of Bartholin Gland Diseases?

Updated: Aug 10, 2017
  • Author: Antonia Quinn, DO; Chief Editor: Erik D Schraga, MD  more...
  • Print
Answer

Anesthetics

These agents may be used topically or as injectables. Topical anesthetic may be used on vaginal mucosa prior to submucosal injection.

Lidocaine anesthetic

Decreases permeability to sodium ions in neuronal membranes. Inhibits depolarization, blocking the transmission of nerve impulses, which reduces pain.

Topical preparations are available in spray and ointment form.

Injectable lidocaine is available as 1% or 2% concentration, with or without epinephrine.

Bupivacaine (Marcaine, Sensorcaine)

By increasing electrical excitation threshold, slowing nerve impulse propagation, and reducing the action potential, bupivacaine prevents the generation and conduction of nerve impulses to reduce pain.

Concentrations of 0.25% and 0.5% are commonly used for local infiltration. Duration of action is significantly longer than lidocaine. Bupivacaine is available with or without epinephrine.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!