title: Reduction mammaplasty and related impact on psychosexual function.
abstract: BACKGROUND
  Reduction mammaplasty brings an effective improvement, both from the physical and psychological points of view. However, psychosexual consequences are as yet poorly studied, although scars, impairment of sensibility, change in shape and asymmetry can have a negative effect on sexual life.
  
  
  OBJECTIVE
  These authors retrospectively reviewed 55 patients to verify the existence of a close relationship between this popular surgical procedure and psychosexual function.
  
  
  METHODS
  All patients were compared to a group (51 healthy women) chosen from the hospital personnel. Both groups answered four psychological questionnaires (Short Form (SF)-36, Hamilton Anxiety Rating Scale (Ham-A), Hamilton Rating Scale for Depression (Ham-D), Female Sexual Function Index (FSFI)) anonymously, in addition to the scar-assessment test as a single physical test. Psychological tests aim to evaluate self-esteem, quality of life (SF-36) and sexual function in women (FSFI, a test based on Erectile Function Index of Male). High levels of anxiety and depression were used as exclusion criteria in our study (Ham-D and Ham-A). Statistical analysis was based on non-parametric correlation test adjusted for small groups and Spearman's rho test to verify the associations among sub-items scales.
  
  
  RESULTS
  Almost all patients (98%) fulfilled the inclusion criteria for our study. Sexual function index was equal in both groups, but it still showed a higher quality of life in the control group. Nevertheless, the SF-36 value of the patients' group is still enough to allow for acceptable self-esteem.
  
  
  CONCLUSIONS
  We can confirm that reduction mammaplasty does not impair sexual satisfaction or quality of life; moreover, we believe that this procedure can improve such indices. Further investigation will compare patient's values prior to and following surgery to put in evidence a stronger relationship between mammary reduction and sexual function.
authors.affiliation: Plastic Surgery Unit, University of Messina, Policlinic, Via Consolare Valeria, 98100 Messina, Italy. marcosicily@interfree.it
authors.forename: M
authors.initials: M
authors.lastname: Romeo
authors.forename: G
authors.initials: G
authors.lastname: Cuccia
authors.forename: A
authors.initials: A
authors.lastname: Zirilli
authors.forename: E
authors.initials: E
authors.lastname: Weiler-Mithoff
authors.forename: F
authors.initials: F
authors.lastname: Stagno d'Alcontres
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D016462:Mammaplasty / Q000523:psychology; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D012649:Self Concept; D012725:Sexual Behavior / Q000523:psychology*; D055815:Young Adult