title: Gynecomastia Surgery-Impact on Life Quality: A Prospective Case-Control Study.
abstract: OBJECTIVE
  To evaluate the results of surgical treatment of gynecomastia in the context of quality of life and satisfaction after the surgery.
  
  
  METHODS
  Fifty male patients (mean age, 25.1 years [SD = 8 years]) who underwent surgery for gynecomastia and completed both (preoperative and postoperative) stages of the study were included in the analysis. The quality-of-life evaluation instrument was The Short Form-36 Health Survey Questionnaire. Additionally, we used a short questionnaire including 2 questions about patient satisfaction with gynecomastia surgery.
  
  
  RESULTS
  The overall change in life satisfaction after gynecomastia surgery was 1 point on Likert scale (sign test, P < 0.0001). Participants after gynecomastia surgery scored significantly higher than before the procedure in all Short Form-36 Health Survey Questionnaire domains as well as in 2 main scales Psychical and Physical Health. The changes were especially visible for the domain social functioning and a scale Psychical Health (P < 0.0001).
  
  
  CONCLUSIONS
  Gynecomastia surgery significantly improved men's life quality in all aspects and especially in the social aspect and psychical health. This indicates that adult men with gynecomastia are a specific group of patients, in which surgery may result in life quality improvement even over the average scores.
authors.affiliation: From the *Department of Plastic, Reconstructive and Aesthetic Surgery, and †Plastic, Reconstructive and Aesthetic Surgery Clinic, Institute of Surgery, Medical University of Lodz, Lodz, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Kasielska-Trojan
authors.forename: Bogusław
authors.initials: B
authors.lastname: Antoszewski
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D005500:Follow-Up Studies; D006177:Gynecomastia / Q000523:psychology / Q000601:surgery*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D016462:Mammaplasty / Q000523:psychology; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult