Because of last year’s article: “A bag at the vulvar opening – Bartholin’s cyst”, many patients have approached the clinic or consulted online. In Friday’s clinic, I met a patient who had been suffering from pus flowing from a 2 year old mass at the vulvar orifice that had repeatedly ruptured. On examination, I found that the mass was next to the urethra and when I squeezed the anterior vaginal wall, I could see pus and blood flowing from the small eyes on either side of the urethra. I diagnosed her with an abscess of the paraurethral gland and referred her to a urologist for further treatment. Another frequently seen pouch of the vulva is a sebaceous cyst, also called an epidermal inclusion cyst. In layman’s terms, it is a small, spherical sachet that can grow anywhere on the vulva, closer to the skin, and can squeeze out a yellowish-white paste or cream-like substance. It has been jokingly referred to as: a pimple growing on the vulva. Most of these cysts do not need to be treated, but if the mass is large and there are uncomfortable symptoms of vulvar rubbing, it needs to be removed and the wall removed as much as possible. However, if there is an infection and pus at this time, you should not rush to cut it, but you can treat it with local anti-inflammatory treatment, and wait until the inflammation is better, then it is not too late to do the surgery. Lipomas of the vulva are also superficial in location, but most of them are not spherical, but salami-like or multiple salami-like, the technical term is lobulated. It can be surgically removed. Another type of vulvar cyst is the vestibular mucous cyst, which is another name for the bus gland previously described as the vestibular gland, while the vestibular mucous cyst is a cystic expansion of the small vestibular gland. This gland is located just below the hymen, so it can occur in all locations surrounding the vaginal opening and is relatively superficial. It can be operated on when it is large. However, if it is located close to the urethra, it is not good to identify it with a paraurethral gland cyst or abscess, so it is better to leave it to the urologist, since the surgery is the same anyway and protecting the urethra is their specialty. The majority of bags at the vulva are actually benign, but the appearance of irregularly shaped bags at the vulva in postmenopausal women may be a sign of cancer, so we must pay attention.