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Psychosexual function in women who have undergone reduction mammaplasty

Cerovac, S; Ali, FS; Blizard, R; Lloyd, G; Butler, PE; (2005) Psychosexual function in women who have undergone reduction mammaplasty. Plast.Reconstr.Surg. , 116 (5) 1306 - 1313.

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Abstract

BACKGROUND: Reduction mammaplasty substantially alleviates physical and psychological symptoms of mammary hyperplasia, but the effect on psychosexual function has not been analyzed so far. The aim of this study was to assess the impact of this common procedure on both operative and psychosexual satisfaction. METHODS: All women who underwent reduction mammaplasty (n = 90) at the Royal Free and University College London Hospitals between 1997 and 2000 were sent a series of questionnaires on their psychosexual health and satisfaction with operative outcome and postoperative sexual function. RESULTS: Of the 80 women who responded (response rate, 89 percent), 76 percent were satisfied with their operative results. Postoperative sexual satisfaction was improved in 28 percent, worsened in 19 percent, and unchanged in 53 percent of patients. Nobody dissatisfied with surgical outcome reported improved sexual satisfaction. A strong correlation was found between these two main outcome measures and General Health and Female Sexual Function Index scores. Significant correlations were also noted for breast shape, sensation, and symmetry (p < 0.001) and change in nipple sensation (p < 0.01). In contrast, breast size and scars did not significantly affect patient operative and sexual satisfaction (p > 0.1). When compared with the satisfied group, women unhappy with surgical results were more likely to suffer from postoperative anxiety (58 versus 18 percent) and depression (42 versus 8 percent). CONCLUSIONS: This study confirms that operative outcome following breast reduction does correlate with postoperative psychosexual function, mental health, and some breast parameters. Now that the link is identified, a prospective analysis may clarify the precise relationship between the patient's preoperative psychological status and operative and psychosexual satisfaction

Type:Article
Title:Psychosexual function in women who have undergone reduction mammaplasty
Additional information:DA - 20051011IS - 1529-4242 (Electronic)LA - engPT - Journal ArticleSB - AIMSB - IM
Keywords:surgery, Adult, Aged, analysis, Anxiety, Depression, England, Female, Humans, London, Mammaplasty, methods, Middle Aged, Nipples, Patient Satisfaction, physiology, psychology, Questionnaires, Retrospective Studies, Sensation, Sexual Behavior, surgery, Women
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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