Sexuality After Breast Reconstruction Post Mastectomy
Background Sexual dysfunction is a medical condition that can lead to relationship issues as well as depression and has a somatoform basis. It is estimated to affect 49 % of Brazilian women. Studies have shown that both cancer diagnosis and its surgical treatment (mastectomy) affect women psychologi...
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| Veröffentlicht in: | Aesthetic plastic surgery 2013-06, Vol.37 (3), p.643-647 |
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| creator | Neto, Miguel Sabino de Aguiar Menezes, Marcel Vinicius Moreira, João Ricardo Garcia, Elvio Bueno Abla, Luiz Eduardo Felipe Ferreira, Lydia Masako |
| description | Background
Sexual dysfunction is a medical condition that can lead to relationship issues as well as depression and has a somatoform basis. It is estimated to affect 49 % of Brazilian women. Studies have shown that both cancer diagnosis and its surgical treatment (mastectomy) affect women psychologically and can lead to psychiatric disorders. The aim of this study was to evaluate and compare sexuality in women who underwent mastectomy alone with those who underwent breast reconstruction after mastectomy.
Method
This descriptive transversal study analyzed two groups of patients, one with 17 women after mastectomy alone and another with 19 women who underwent breast reconstruction post mastectomy. The patients ranged in age from 18 to 60 years old. The exclusion criteria were illiteracy; ongoing chemotherapy, radiotherapy, or psychiatric treatment; or if any surgery had been performed the previous year. All patients were from the Gynecology and Plastic Surgery Department of the Federal University of São Paulo. They voluntarily answered the FSFI (Female Sexual Function Index) questionnaire. Statistical analyses were performed using Student’s
t
test and Pearson’s coefficient, and the significance level used was
p
|
| doi_str_mv | 10.1007/s00266-013-0082-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1353476219</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2979426381</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-2161fc8dc0f9f65f95df23364cdb555dce71b390ce7c47d963dc2291099b8cf63</originalsourceid><addsrcrecordid>eNp1kEtLxDAQx4Mo7rr6AbxIwYuXat5pjuviC1YUH-AttGkiXfpYkxTcb29KVxHB08DMb_4z_AA4RvAcQSguPISY8xQikkKY4TTbAVNECU4ZpmgXTCHhNMWIv03AgfcrCBEWgu6DCSYMyUzwKWDP5rPP6ypskrkNxiWXzuQ-JE9Gd60Prteh6trksYu9-zgwOnTN5hDs2bz25mhbZ-D1-uplcZsuH27uFvNlqinJwnAaWZ2VGlppObOSlRaT-JQuC8ZYqY1ABZEwVk1FKTkpNcYSQSmLTFtOZuBszF277qM3Pqim8trUdd6arvcKEUao4BjJiJ7-QVdd79r43UAxLCkULFJopLTrvHfGqrWrmtxtFIJqcKpGpyo6VYNTlcWdk21yXzSm_Nn4lhgBPAI-jtp3436d_jf1C7pEgD8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1355294075</pqid></control><display><type>article</type><title>Sexuality After Breast Reconstruction Post Mastectomy</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Neto, Miguel Sabino ; de Aguiar Menezes, Marcel Vinicius ; Moreira, João Ricardo ; Garcia, Elvio Bueno ; Abla, Luiz Eduardo Felipe ; Ferreira, Lydia Masako</creator><creatorcontrib>Neto, Miguel Sabino ; de Aguiar Menezes, Marcel Vinicius ; Moreira, João Ricardo ; Garcia, Elvio Bueno ; Abla, Luiz Eduardo Felipe ; Ferreira, Lydia Masako</creatorcontrib><description>Background
Sexual dysfunction is a medical condition that can lead to relationship issues as well as depression and has a somatoform basis. It is estimated to affect 49 % of Brazilian women. Studies have shown that both cancer diagnosis and its surgical treatment (mastectomy) affect women psychologically and can lead to psychiatric disorders. The aim of this study was to evaluate and compare sexuality in women who underwent mastectomy alone with those who underwent breast reconstruction after mastectomy.
Method
This descriptive transversal study analyzed two groups of patients, one with 17 women after mastectomy alone and another with 19 women who underwent breast reconstruction post mastectomy. The patients ranged in age from 18 to 60 years old. The exclusion criteria were illiteracy; ongoing chemotherapy, radiotherapy, or psychiatric treatment; or if any surgery had been performed the previous year. All patients were from the Gynecology and Plastic Surgery Department of the Federal University of São Paulo. They voluntarily answered the FSFI (Female Sexual Function Index) questionnaire. Statistical analyses were performed using Student’s
t
test and Pearson’s coefficient, and the significance level used was
p
< 0.05.
Results
Data showed a lower FSFI score for the mastectomy-alone group compared to the breast reconstruction group (median = 10.15 ± 2.636 and 22.44 ± 3.055, respectively;
p
= 0.0057). There was no relationship established between the scores and postoperative time (post,
p
= 0.9382; pre,
p
= 0.2142) or between scores and remuneration income (post,
p
= 0.7699; pre,
p
= 0.5245), stable relationship (post,
p
= 0.2613; pre,
p
= 0.5245), and age (post,
p
= 0.3951; pre,
p
= 0.8427) for both groups. Mean age has shown no significant difference (
p
= 0.4740; median post = 47.71 ± 2.012; medina pre = 46.69 ± 1.809).
Conclusion
An improvement in sexual function has been observed in patients who underwent breast reconstruction after mastectomy, probably as a result of better self-esteem as well as body image, both of which are affected by a mastectomy. The aesthetic results were evaluated using a questionnaire, and all the patients answered positively.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-013-0082-8</identifier><identifier>PMID: 23519876</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Breast Neoplasms - psychology ; Breast Neoplasms - surgery ; Female ; Humans ; Letter to the Editor ; Mammaplasty - psychology ; Mastectomy - psychology ; Medicine ; Medicine & Public Health ; Middle Aged ; Otorhinolaryngology ; Plastic Surgery ; Postoperative Period ; Sexual Behavior ; Sexuality</subject><ispartof>Aesthetic plastic surgery, 2013-06, Vol.37 (3), p.643-647</ispartof><rights>Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-2161fc8dc0f9f65f95df23364cdb555dce71b390ce7c47d963dc2291099b8cf63</citedby><cites>FETCH-LOGICAL-c438t-2161fc8dc0f9f65f95df23364cdb555dce71b390ce7c47d963dc2291099b8cf63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-013-0082-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-013-0082-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23519876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neto, Miguel Sabino</creatorcontrib><creatorcontrib>de Aguiar Menezes, Marcel Vinicius</creatorcontrib><creatorcontrib>Moreira, João Ricardo</creatorcontrib><creatorcontrib>Garcia, Elvio Bueno</creatorcontrib><creatorcontrib>Abla, Luiz Eduardo Felipe</creatorcontrib><creatorcontrib>Ferreira, Lydia Masako</creatorcontrib><title>Sexuality After Breast Reconstruction Post Mastectomy</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Sexual dysfunction is a medical condition that can lead to relationship issues as well as depression and has a somatoform basis. It is estimated to affect 49 % of Brazilian women. Studies have shown that both cancer diagnosis and its surgical treatment (mastectomy) affect women psychologically and can lead to psychiatric disorders. The aim of this study was to evaluate and compare sexuality in women who underwent mastectomy alone with those who underwent breast reconstruction after mastectomy.
Method
This descriptive transversal study analyzed two groups of patients, one with 17 women after mastectomy alone and another with 19 women who underwent breast reconstruction post mastectomy. The patients ranged in age from 18 to 60 years old. The exclusion criteria were illiteracy; ongoing chemotherapy, radiotherapy, or psychiatric treatment; or if any surgery had been performed the previous year. All patients were from the Gynecology and Plastic Surgery Department of the Federal University of São Paulo. They voluntarily answered the FSFI (Female Sexual Function Index) questionnaire. Statistical analyses were performed using Student’s
t
test and Pearson’s coefficient, and the significance level used was
p
< 0.05.
Results
Data showed a lower FSFI score for the mastectomy-alone group compared to the breast reconstruction group (median = 10.15 ± 2.636 and 22.44 ± 3.055, respectively;
p
= 0.0057). There was no relationship established between the scores and postoperative time (post,
p
= 0.9382; pre,
p
= 0.2142) or between scores and remuneration income (post,
p
= 0.7699; pre,
p
= 0.5245), stable relationship (post,
p
= 0.2613; pre,
p
= 0.5245), and age (post,
p
= 0.3951; pre,
p
= 0.8427) for both groups. Mean age has shown no significant difference (
p
= 0.4740; median post = 47.71 ± 2.012; medina pre = 46.69 ± 1.809).
Conclusion
An improvement in sexual function has been observed in patients who underwent breast reconstruction after mastectomy, probably as a result of better self-esteem as well as body image, both of which are affected by a mastectomy. The aesthetic results were evaluated using a questionnaire, and all the patients answered positively.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Adult</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Letter to the Editor</subject><subject>Mammaplasty - psychology</subject><subject>Mastectomy - psychology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology</subject><subject>Plastic Surgery</subject><subject>Postoperative Period</subject><subject>Sexual Behavior</subject><subject>Sexuality</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kEtLxDAQx4Mo7rr6AbxIwYuXat5pjuviC1YUH-AttGkiXfpYkxTcb29KVxHB08DMb_4z_AA4RvAcQSguPISY8xQikkKY4TTbAVNECU4ZpmgXTCHhNMWIv03AgfcrCBEWgu6DCSYMyUzwKWDP5rPP6ypskrkNxiWXzuQ-JE9Gd60Prteh6trksYu9-zgwOnTN5hDs2bz25mhbZ-D1-uplcZsuH27uFvNlqinJwnAaWZ2VGlppObOSlRaT-JQuC8ZYqY1ABZEwVk1FKTkpNcYSQSmLTFtOZuBszF277qM3Pqim8trUdd6arvcKEUao4BjJiJ7-QVdd79r43UAxLCkULFJopLTrvHfGqrWrmtxtFIJqcKpGpyo6VYNTlcWdk21yXzSm_Nn4lhgBPAI-jtp3436d_jf1C7pEgD8</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Neto, Miguel Sabino</creator><creator>de Aguiar Menezes, Marcel Vinicius</creator><creator>Moreira, João Ricardo</creator><creator>Garcia, Elvio Bueno</creator><creator>Abla, Luiz Eduardo Felipe</creator><creator>Ferreira, Lydia Masako</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>Sexuality After Breast Reconstruction Post Mastectomy</title><author>Neto, Miguel Sabino ; de Aguiar Menezes, Marcel Vinicius ; Moreira, João Ricardo ; Garcia, Elvio Bueno ; Abla, Luiz Eduardo Felipe ; Ferreira, Lydia Masako</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-2161fc8dc0f9f65f95df23364cdb555dce71b390ce7c47d963dc2291099b8cf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Letter to the Editor</topic><topic>Mammaplasty - psychology</topic><topic>Mastectomy - psychology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Otorhinolaryngology</topic><topic>Plastic Surgery</topic><topic>Postoperative Period</topic><topic>Sexual Behavior</topic><topic>Sexuality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neto, Miguel Sabino</creatorcontrib><creatorcontrib>de Aguiar Menezes, Marcel Vinicius</creatorcontrib><creatorcontrib>Moreira, João Ricardo</creatorcontrib><creatorcontrib>Garcia, Elvio Bueno</creatorcontrib><creatorcontrib>Abla, Luiz Eduardo Felipe</creatorcontrib><creatorcontrib>Ferreira, Lydia Masako</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Health & Medical Complete</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neto, Miguel Sabino</au><au>de Aguiar Menezes, Marcel Vinicius</au><au>Moreira, João Ricardo</au><au>Garcia, Elvio Bueno</au><au>Abla, Luiz Eduardo Felipe</au><au>Ferreira, Lydia Masako</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexuality After Breast Reconstruction Post Mastectomy</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>37</volume><issue>3</issue><spage>643</spage><epage>647</epage><pages>643-647</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Sexual dysfunction is a medical condition that can lead to relationship issues as well as depression and has a somatoform basis. It is estimated to affect 49 % of Brazilian women. Studies have shown that both cancer diagnosis and its surgical treatment (mastectomy) affect women psychologically and can lead to psychiatric disorders. The aim of this study was to evaluate and compare sexuality in women who underwent mastectomy alone with those who underwent breast reconstruction after mastectomy.
Method
This descriptive transversal study analyzed two groups of patients, one with 17 women after mastectomy alone and another with 19 women who underwent breast reconstruction post mastectomy. The patients ranged in age from 18 to 60 years old. The exclusion criteria were illiteracy; ongoing chemotherapy, radiotherapy, or psychiatric treatment; or if any surgery had been performed the previous year. All patients were from the Gynecology and Plastic Surgery Department of the Federal University of São Paulo. They voluntarily answered the FSFI (Female Sexual Function Index) questionnaire. Statistical analyses were performed using Student’s
t
test and Pearson’s coefficient, and the significance level used was
p
< 0.05.
Results
Data showed a lower FSFI score for the mastectomy-alone group compared to the breast reconstruction group (median = 10.15 ± 2.636 and 22.44 ± 3.055, respectively;
p
= 0.0057). There was no relationship established between the scores and postoperative time (post,
p
= 0.9382; pre,
p
= 0.2142) or between scores and remuneration income (post,
p
= 0.7699; pre,
p
= 0.5245), stable relationship (post,
p
= 0.2613; pre,
p
= 0.5245), and age (post,
p
= 0.3951; pre,
p
= 0.8427) for both groups. Mean age has shown no significant difference (
p
= 0.4740; median post = 47.71 ± 2.012; medina pre = 46.69 ± 1.809).
Conclusion
An improvement in sexual function has been observed in patients who underwent breast reconstruction after mastectomy, probably as a result of better self-esteem as well as body image, both of which are affected by a mastectomy. The aesthetic results were evaluated using a questionnaire, and all the patients answered positively.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>23519876</pmid><doi>10.1007/s00266-013-0082-8</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Aesthetic plastic surgery, 2013-06, Vol.37 (3), p.643-647 |
| issn | 0364-216X 1432-5241 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1353476219 |
| source | MEDLINE; SpringerLink (Online service) |
| subjects | Adult Breast Neoplasms - psychology Breast Neoplasms - surgery Female Humans Letter to the Editor Mammaplasty - psychology Mastectomy - psychology Medicine Medicine & Public Health Middle Aged Otorhinolaryngology Plastic Surgery Postoperative Period Sexual Behavior Sexuality |
| title | Sexuality After Breast Reconstruction Post Mastectomy |
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