Surgical outcomes and the impact of major surgery on quality of life, activity impairment and sexual health in hidradenitis suppurativa patients: a prospective single centre study

Background Hidradenitis suppurativa (HS) is a chronic debilitating skin disease, frequently located in the groin and anogenital area, leading to a substantial impact on quality of life and sexual health in patients with HS. Skin‐tissue‐sparing excision with electrosurgical peeling (STEEP) is a proce...

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Bibliographic Details
Published in:Journal of the European Academy of Dermatology and Venereology 2019-10, Vol.33 (10), p.1941-1946
Main Authors: Prens, L.M., Huizinga, J., Janse, I.C., Horváth, B.
Format: Article
Language:English
Subjects:
Acne, Rosacea and Hidradenitis Suppurativa
Activities of Daily Living
Adult
Biological Products - therapeutic use
Efficiency
Female
Hidradenitis Suppurativa - complications
Hidradenitis Suppurativa - drug therapy
Hidradenitis Suppurativa - surgery
Humans
Male
Middle Aged
Original
Patient Reported Outcome Measures
Prospective Studies
Quality of Life
Severity of Illness Index
Sexual Health
Time Factors
Wound Healing
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Summary:Background Hidradenitis suppurativa (HS) is a chronic debilitating skin disease, frequently located in the groin and anogenital area, leading to a substantial impact on quality of life and sexual health in patients with HS. Skin‐tissue‐sparing excision with electrosurgical peeling (STEEP) is a procedure with known low recurrence rates and high patient satisfaction in retrospective series. However, a prospective study to investigate the impact of any major surgery on specific aspects of the quality of life has not yet been performed. Objective To assess surgical outcomes and the effect of major surgery on the general quality of life, sexual health and activity impairment in patients with HS. Materials and methods A single centre prospective survey study was conducted among 40 patients undergoing major surgery. Surveys were completed prior to the surgery and 2, 6, 12 and 26 weeks after surgery. Besides the objective parameters (time to wound closure and surface of the wound), patient‐reported outcomes were reported. Results Thirty‐nine patients with a total of 171 survey responses were included for analysis. Patients with Hurley stage I or II had a shorter time to wound closure (TTWC) compared to patients with Hurley stage III (P = 0.005). TTWC was significantly prolonged in patients treated with biologics (P 
ISSN:0926-9959
1468-3083
DOI:10.1111/jdv.15706