title: Effect of Reduction Mammaplasty on Sexual Activity.
abstract: OBJECTIVE
  This study aimed to evaluate the effects of reduction mammaplasty operation on sexual functions of the patients with macromastia and of their partners.
  
  
  METHODS
  Thirty-nine patients with macromastia and their partners were assessed for their sexual function before and 6 months after reduction mammaplasty. Sexual function of the women and their partners were evaluated using the Index of Female Sexual Function (IFSF) and the International Index of Erectile Function (IIEF), respectively. Controls (n = 33) were chosen from healthy hospital staff and their partners. Preoperative and postoperative scores were statistically compared with the controls' scores by using Student t test. Also, preoperative and postoperative scores were compared by using paired t test.
  
  
  RESULTS
  The mean of age and body mass index of the women and their partners in the patient and control group were similar (P = 0.07). Before the operation, the mean of IFSF scores in the patient and control group were 22.75 (3.45) and 27.28 (5.05), respectively (P < 0.001). After the operation, the mean of IFSF scores in the patient group increased significantly to 27.67 (P < 0.001). The postoperative scores of all IFSF subscales except lubrication subscale were higher than the preoperative scores. Although there was no significant difference between preoperative and postoperative IIEF-total scores, postoperative IIEF-erectile function and IIEF-intercourse satisfaction scores were significantly reduced (P < 0.05).
  
  
  CONCLUSIONS
  We found that macromastia adversely affected female sexual function but reduction mammaplasty eliminated this adverse effect. We also found that the partners' erectile function and intercourse satisfaction reduced after the operation. This reduction may be due to psychological effects.
authors.affiliation: From the *Plastic and Reconstructive Surgery Clinic, Izmir Bozyaka Training and Research Hospital, Izmir; †Department of Urology, Faculty of Medicine, Celal Bayar University, Manisa; and ‡Plastic and Reconstructive Surgery Clinic, Konur Medical Center, Bursa, Turkey.
authors.forename: Emin
authors.initials: E
authors.lastname: Sir
authors.forename: Oktay
authors.initials: O
authors.lastname: Üçer
authors.forename: Melike
authors.initials: M
authors.lastname: Güngör
authors.forename: Alper
authors.initials: A
authors.lastname: Aksoy
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Keçeci
authors.forename: Bilal
authors.initials: B
authors.lastname: Gümüş
mesh_terms: D000328:Adult; D001940:Breast / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy / Q000523:psychology / Q000601:surgery*; D008297:Male; D016462:Mammaplasty / Q000523:psychology*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D012737:Sex Factors; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*