Occurrence of sexual dysfunctions in mastectomized females with or without breast reconstruction/Incidencia de disfuncoes sexuais em mulheres mastectomizadas com ou sem reconstrucao mamaria

Breast cancer ranks second as the most common in women. Surgery, the usual initial treatment of the disease, triggers important changes in the patient's self-image and interferes in sexuality. Breast reconstruction usually improves life quality and has a positive psychological effect. It was developed a current transversal, observational qualitative research that comprised data collection at the Mastology Service of a hospital in the central region of the state of Rio Grande do Sul, Brazil, aiming to compare the prevalence of sexual dysfunctions in mastectomized females with or without breast reconstruction. The sample consisted of 28 females, aged between 36 and 73 years (53.77 [+ or -] 10.77), of whom 17 did not undergo breast reconstruction (G1) and 11 had breast reconstruction (G2). The evaluation card adapted by Etienne & Waitman and Female Sexual Function Index (FSFI) were applied. Descriptive statistics of the evaluated variables, coupled to the normality test of Shapiro-Wilk were undertaken; correlation test of Pearson and correlation test of Spearman were employed respectively for co-relationships of symmetrical and asymmetrical variables. G2 has sexual dysfunction in all domains, whereas G1, although with total score above cut-off point, reveals predictive rates for sexual dysfunction, except in the domain satisfaction. The latter, coupled to libido, showed statistically significant difference between the two groups. Keywords: breast neoplasm, Surgical Oncology, sexuality. O cancer de mama e o segundo tipo de neoplasia mais prevalente entre as mulheres, sendo o procedimento cirurgico o mais utilizado no tratamento inicial dessa enfermidade, o qual pode acarretar alteracoes na autoimagem, podendo interferir na sexualidade. A reconstrucao mamaria usualmente proporciona melhora na qualidade de vida e no ambito psicologico. Foi desenvolvida uma pesquisa do tipo transversal, observacional, de carater quantitativo. A coleta de dados foi realizada no Servico de Mastologia de um hospital na regiao Central do Rio Grande do Sul com o objetivo de comparar a prevalencia de disfuncoes sexuais em mulheres mastectomizadas com ou sem reconstrucao mamaria. A amostra foi constituida por 28 mulheres, com idades entre 36 e 73 anos (53,77 [+ or -] 10,77), sendo que, destas, 17 nao foram submetidas a reconstrucao mamaria (G1) e 11 realizaram reconstrucao mamaria (G2). Foram aplicados a ficha de avaliacao adaptada de Etienne & Waitman e o Female Sexual Function Index (