title: Bilateral prophylactic mastectomy in women with inherited risk of breast cancer--prevalence of pain and discomfort, impact on sexuality, quality of life and feelings of regret two years after surgery.
abstract: BACKGROUND
  Mastectomy due to breast cancer is associated with chronic pain and a negative impact on sexuality. The purposes of the study were to analyze the prevalence of pain and discomfort in the breasts, impact on sexuality, quality of life, and feelings of regret after bilateral prophylactic mastectomy and immediate reconstruction with implants.
  
  
  METHODS
  Fifty-nine women operated 2004-2006 were included. A questionnaire was sent out two years after the procedure. Complications and re-operations were recorded.
  
  
  RESULTS
  Mean follow-up time was 29 months. 93% of patients answered the questionnaire. 69% reported pain and 71% discomfort in the breasts. Lost or much reduced sexual sensations were reported by 85% and enjoyment of sex was negatively impacted for 75% of patients. Quality of life was not affected and feelings of regret were almost non-existent.
  
  
  CONCLUSIONS
  It is important to inform women approaching this prophylactic procedure about the risk of having unwanted secondary effects.
authors.affiliation: Department of Molecular Medicine and Surgery, Section of Reconstructive Plastic Surgery, Karolinska University Hospital, SE-171 76 Stockholm, Sweden. jessica.gahm@karolinska.se
authors.forename: Jessica
authors.initials: J
authors.lastname: Gahm
authors.forename: Marie
authors.initials: M
authors.lastname: Wickman
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Brandberg
mesh_terms: D000328:Adult; D000368:Aged; D001940:Breast / Q000601:surgery; D001943:Breast Neoplasms / Q000235:genetics / Q000517:prevention & control*; D002908:Chronic Disease; D004644:Emotions; D005260:Female; D006801:Humans; D016015:Logistic Models; D016462:Mammaplasty / Q000009:adverse effects / Q000523:psychology; D008408:Mastectomy / Q000009:adverse effects* / Q000523:psychology*; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology*; D011788:Quality of Life / Q000523:psychology*; D019529:Sexuality / Q000523:psychology*; D011795:Surveys and Questionnaires