Sexual functioning in women after mastectomy versus breast conserving therapy for early-stage breast cancer: A prospective controlled study

Aerts, L.; Christiaens, M.R.; Enzlin, Paul; Neven, Patrick; Amant, Frédéric

doi:10.1016/j.breast.2014.06.012

Cited by 131 publications

(104 citation statements)

References 46 publications

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“…Women with lumpectomy present fewer dysfunctions that those who have a unilateral mastectomy or a bilateral mastectomy [6, 9, 26, 27]. Women without breast reconstruction have the greatest probability of sexual dysfunction [28].…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in Spanish women with breast cancer

et al. 2018

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PurposeTo determine whether there are changes in sexuality after breast cancer, to better understand the sexual function of women with breast cancer, and to investigate the potential relationship between sexual dysfunction and socio-demographic and clinical variables.MethodsA cross-sectional study. This study included 514 women with breast cancer between 21- and 66-years-old. The cases were gathered between June 2016 and January 2017. The instruments used were the questionnaire on Women’s Sexual Function and a questionnaire to collect socio-demographic and clinical data.ResultsThe average age (± standard deviation, SD) of participants was 46.34 ± 8.28 years. Their average age at date of diagnosis was 42.26 ± 8.56 years, and the average time suffering from cancer was 4.05 ± 5.23 years. There were significant differences (p = 0.002) in the presence of sexual dysfunction before (32.1%) and after (91.2%) cancer. The primary sexual dysfunctions were due to penetration pain (50.6%), lubrication (50.6%), dysfunctional desire (44.6%), and dysfunctional excitement (44.6%). Two-thirds of participants were satisfied with their sexual relations. The women who presented most sexual dysfunction were those that had a bilateral mastectomy (p = 0.009) and those who received chemotherapy, radiotherapy and hormonal-therapy (p < 0.001).ConclusionSexual function was changed in women with breast cancer. The main problems included penetration pain, desire, lubrication, and dysfunctional excitement. It is important that Health professionals recognize which circumstances influence the sexual function of women with breast cancer and to make interventions that facilitate sexual adjustment.

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Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in Spanish women with breast cancer

et al. 2018

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“…On the other hand, Aerts et al 23 reported that women conservative surgery post feature countless negative emotions, such as depression and anxiety, concerns about recurrences of the disease, change in femininity and decreased sexual attraction.…”

Section: Discussionmentioning

confidence: 99%

Impact of mastectomy and breast-conserving surgery on quality of life of women after breast cancer

Mendes¹,

Souza²,

Neves³

et al. 2017

Mundo Saúde

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ResumoO câncer de mama é um problema de saúde pública, no Brasil, as estimativas para o biênio de 2016/2017, apontam para 57.960 novos casos. A cirurgia conservadora é considerada o procedimento de escolha no estágio inicial, incluindo a remoção do tumor envolvendo uma borda de tecido normal, com preservação do tecido mamária, enquanto a mastectomia (ou cirurgia não-conservadora) inclui a remoção de todo o tecido mamário, com a remoção do peitoral maior e menor. As intervenções cirúrgicas realizadas em mulheres com câncer de mama podem causar repercussões físicas, emocionais, psicológicas, sociais e sexuais que geram impacto negativo em sua qualidade de vida. Levando isso em consideração, a hipótese deste estudo foi baseada na questão: qual é o impacto das cirurgias de remoção do câncer de mama na qualidade de vida de mulheres das cidades de São José dos Campos e Jacareí. Portanto, este estudo teve como objetivo analisar a qualidade de vida entre mulheres submetidas à mastectomia e cirurgia conservadora da mama após o diagnóstico de câncer de mama e como isso poderia ser impactado pelos aspectos sócio demográficos. Este foi um estudo descritivo cruzado com caráter exploratório. A amostra consistiu em 105 mulheres pós-câncer de mama com idade média de 55,4 ± 11,1 anos, divididas em dois grupos de acordo com o tipo de cirurgia realizada. Foi utilizado o questionário de qualidade de vida SF-36 "Short-Form Health Survey". A análise estatística de variância foi realizada com o teste de Kruskal-Wallis, considerando o nível de significância (p≤0,05). Condição geral da saúde (p=0,70), vitalidade (p=0,66), física (p=0,6), física (p=0,25), aspectos sociais (p = 0,23), limitações nos aspectos emocionais (p = 0,78), saúde mental (p = 0,28). Foi possível concluir que, tanto a mastectomia quanto a cirurgia conservadora não apresentam diferença estatística em relação à qualidade de vida. No entanto, ambas as técnicas, assim como os aspectos sócio demográficos, podem influenciar negativamente na qualidade de vida das mulheres após cirurgia de remoção do câncer de mama.Palavras-chave: Câncer de Mama. Mastectomia. Cirurgia Conservadora da Mama. Qualidade de Vida. AbstractBreast cancer is public health problem, in Brazil, it is estimated 57,960 new cases for the biennium of 2016/2017. Conservative surgery is considered the procedure of choice in the initial stage, including tumor removal involving a border of normal tissue, with preservation of breast tissue. While mastectomy, or non-conservative surgery, includes the removal of the entire breast tissue, with the removal of the pectoralis major and minor. Surgical interventions performed in women with breast cancer can cause physical, emotional/psychological, social and sexual repercussions that generate negative impact in their life. Considering that, this study was conducted over the hypothesis: what is the impact of breast cancer removal surgery in quality of life of women from São José dos Campos and Jacareí cities, aiming to recognize the variables that affect their quality o...

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“…107 Both premenopausal and postmenopausal BRCA carriers undergoing RRSO compared with screening have been shown to have decreased pleasure and satisfaction and increased dyspareunia. Beyond the physical changes in sensation and vaginal dryness, women can have altered body images and difficulty with desire and arousal.…”

Section: Reproduction and Sexualitymentioning

confidence: 99%

A Comprehensive Approach to the Identification and Management of the BRCA Patient

Garcia¹,

Powell²

2015

Obstetrical &Amp; Gynecological Survey

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As the testing criteria for BRCA expand, we are identifying a greater number of young women at significant risk for breast and ovarian cancer. Fortunately, there is strong evidence to support risk reduction from mastectomy and oophorectomy. However, these surgeries come with significant psychological and physical health consequences. For breast cancer, screening with mammogram and magnetic resonance imaging may be a reasonable approach for a woman who does not desire surgery. However, there is no evidence to suggest any efficacy in screening for ovarian cancer, and women electing to not undergo surgery must have a detailed discussion with their physician regarding the risks and benefits of different management strategies. As more women are electing to undergo surgical risk reduction, providers must also be able to counsel and care for these women who will face unique health challenges after surgical menopause at a young age. A review of the current evidence behind management of the BRCA woman follows, with a focus on areas of controversy and current research.

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Sexual functioning in women after mastectomy versus breast conserving therapy for early-stage breast cancer: A prospective controlled study

Abstract: Although little differences were seen in sexual functioning in the BCT group during prospective analyses and in comparison with healthy controls, analyses revealed that women who underwent a ME were at risk for post-operative sexual dysfunctions.

Cited by 131 publications

References 46 publications

Sexual dysfunction in Spanish women with breast cancer

Sexual dysfunction in Spanish women with breast cancer

Impact of mastectomy and breast-conserving surgery on quality of life of women after breast cancer

A Comprehensive Approach to the Identification and Management of the BRCA Patient

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