Gynaecomastia: management in a developing country

Area of Science:

• Endocrinology
• General Surgery
• Male Health

Background:

• Gynaecomastia is a prevalent benign enlargement of male breast tissue.
• It arises from diverse pathophysiological mechanisms.
• Understanding its presentation and treatment outcomes is crucial.

Purpose of the Study:

• To describe the clinical presentation of gynaecomastia.
• To evaluate the outcomes of various treatment modalities.
• To assess patient satisfaction following interventions.

Main Methods:

• A retrospective study of 100 men with gynaecomastia over three years.
• Clinical evaluation and investigations were performed.
• Patients received counseling and three months of hormonal therapy; surgery was considered for refractory or cosmetic cases.

Main Results:

• Idiopathic gynaecomastia accounted for 90% of cases.
• Subcutaneous mastectomy was performed on 88 patients, with 81.8% satisfaction.
• Wound infection was the primary postoperative complication (24%).

Conclusions:

• Idiopathic gynaecomastia frequently requires surgical intervention.
• Subcutaneous mastectomy with a periareolar incision is an effective treatment.
• Satisfactory cosmetic outcomes are achievable with surgical management.