Sexuality Among Women Treated for Breast Cancer: A Survey of Three Surgical Procedures

Background The quality of life of Mexican patients with breast cancer has been studied, but female sexual function has only been explored superficially. The Female Sexual Function Index (FSFI) questionnaire has been validated as a tool to measure sexual function among women with cancer. However, no...

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Published in:Aesthetic plastic surgery 2017-12, Vol.41 (6), p.1275-1279
Main Authors: Cortés-Flores, Ana Olivia, Vargas-Meza, Adriana, Morgan-Villela, Gilberto, Jiménez-Tornero, Jorge, del Valle, Carlos José Zuloaga-Fernández, Solano-Genesta, Manuel, Miranda-Ackerman, Roberto Carlos, Vázquez-Reyna, Iztel, García-González, Luis Alberto, Cervantes-Cardona, Guillermo Alonso, Cervantes-Guevara, Gabino, Fuentes-Orozco, Clotilde, González-Ojeda, Alejandro
Format: Article
Language:English
Subjects:
Adult
Age Factors
Body Image
Breast cancer
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Cross-Sectional Studies
Female
Humans
Mammaplasty - methods
Mammaplasty - psychology
Mastectomy
Mastectomy - methods
Mastectomy - psychology
Mastectomy, Segmental - methods
Mastectomy, Segmental - psychology
Medicine
Medicine & Public Health
Mexico
Middle Aged
Original Article
Otorhinolaryngology
Plastic Surgery
Postoperative Period
Prognosis
Questionnaires
Risk Assessment
Sexual Behavior
Sexuality
Sickness Impact Profile
Surveys and Questionnaires
Womens health
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Summary:Background The quality of life of Mexican patients with breast cancer has been studied, but female sexual function has only been explored superficially. The Female Sexual Function Index (FSFI) questionnaire has been validated as a tool to measure sexual function among women with cancer. However, no study in Mexico has been published. Purpose To evaluate and compare female sexuality of breast cancer survivors treated with three surgical procedures. Materials and Methods This is a cross-sectional questionnaire survey applied in patients without active disease and free of any oncologic treatment who underwent conservative mastectomy, and mastectomy with and without reconstruction. Patients included in this study had no evidence of active disease after at least 2 years of postoperative follow-up and agreed to complete the FSFI questionnaire during a surveillance visit. Results Seventy-four patients were included: 37.8% had undergone conservative mastectomy, 29.7% radical mastectomy, and 32.4% radical mastectomy plus reconstruction. Patients in the radical mastectomy group were older than those in the other groups ( p  = 0.002). Female sexual dysfunction was observed in 34% of patients, but in patients who underwent radical mastectomy, it was 63% by contrast with 14 and 29% in women treated with conservative mastectomy and radical mastectomy with reconstruction ( p  = 0.001). Conclusions We found a lower prevalence of female sexual dysfunction in patients treated with conservative mastectomy or reconstruction after radical mastectomy. Alternatively, radical mastectomy was offered to older patients, a condition that could contribute together with a loss of female perception to a higher prevalence of sexual dysfunction. Level of Evidence III 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 .
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-017-0960-6